Organization
DR JOHN S WINGFIELD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN STUART WINGFIELD DDS (OWNER PRESIDENT)
(605) 996-6211
Entity
Organization
Contact information
Practice address
510 WEST HAVENS ST, MITCHELL, SD 57301-0490
(605) 996-6211
(605) 996-6213
Mailing address
PO BOX 490, MITCHELL, SD 57301-0490
(605) 996-6211
(605) 996-6213
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M252
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7800570
—
SD
Enumeration date
09/11/2006
Last updated
08/22/2020
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