Organization
CRAIG B WIGGINS DMD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG BURDETTE WIGGINS DMD (ORTHODONTIST OWNER)
(502) 223-1656
Entity
Organization
Contact information
Practice address
5 PHYSICIANS PARK DRIVE, FRANKFORT, KY 40601
(502) 223-1656
(502) 223-7039
Mailing address
5 PHYSICIANS PARK DRIVE, FRANKFORT, KY 40601
(502) 223-1656
(502) 223-7039
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3945
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3945
DENTIST ORTHODONTIST
KY
Enumeration date
03/13/2007
Last updated
08/22/2020
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