Individual
DR. JEFFREY LYNN WINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
(901) 577-7307
Mailing address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
(901) 577-7307
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5235
TN
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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