Individual
SAMUEL MYLES WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
125 ALISON DR STE 9, ALEXANDER CITY, AL 35010-4410
(256) 234-5003
Mailing address
125 ALISON DR STE 9, ALEXANDER CITY, AL 35010-4410
(256) 234-5003
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6308
AL
1223G0001X
General Practice Dentistry
Primary
6308 C1
AL
Other
Enumeration date
04/20/2016
Last updated
09/28/2022
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