Individual
DR. RODRICK DONTE WIGGINS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
260 SUNSET BLVD, NORTHFIELD, OH 44067-1544
(216) 315-0775
Mailing address
260 SUNSET BLVD, NORTHFIELD, OH 44067-1544
(216) 315-0775
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
063159
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2022
Last updated
07/21/2023
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