Individual
DR. ROBERT JOSEPH WYGONSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
700 ATTUCKS LANE, STE 2-E, HYANNIS, MA 02601
(508) 775-5676
(508) 775-4163
Mailing address
700 ATTUCKS LANE, STE 2-E, HYANNIS, MA 02601
(508) 775-5676
(508) 775-4163
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
19609
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043462388
TAX ID
—
01
—
152228
HARVARD PILGRIM MEDICAL
—
01
—
1672037
UNITED CONCORDIA DENTAL
—
01
—
19609
DELTA DENTAL
MA
01
—
19609
TUFTS MEDICAL
—
01
—
1960950
CIGNA DENTAL
—
01
—
2804025
AETNA
—
01
—
280425
US HEALTHCARE
—
01
—
3318505
TRI CARE MEDICAL
—
01
—
351151
UNITED HEALTH CARE DENTAL
—
01
—
554390
CIGNA MEDICAL
—
01
—
X07807
BCBS DENTAL MEDICAL GRP
MA
01
—
X11480
BCBS DENTAL MEDICAL GRP
MA
Enumeration date
05/11/2006
Last updated
08/10/2012
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