Organization
THOMAS S WIGGER DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WIGGER (OFFICE ADMINISTRATOR)
(502) 969-9300
Entity
Organization
Contact information
Practice address
6500 OUTER LOOP, LOUISVILLE, KY 40228-2096
(502) 969-9300
(502) 969-0630
Mailing address
6500 OUTER LOOP, LOUISVILLE, KY 40228-2096
(502) 969-9300
(502) 969-0630
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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