| Craig B Wiggins Dmd Psc | |
|
5 Physicians Park Drive Frankfort KY 40601 | |
| (502) 223-1656 | |
| (502) 223-7039 |
| Full Name | Craig B Wiggins Dmd Psc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5 Physicians Park Drive, Frankfort, Kentucky |
| Authorized Official Name and Position | Craig Burdette Wiggins (ORTHODONTIST OWNER) |
| Authorized Official Contact | 5022231656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Craig B Wiggins Dmd Psc 5 Physicians Park Drive Frankfort KY 40601 Ph: (502) 223-1656 | Craig B Wiggins Dmd Psc 5 Physicians Park Drive Frankfort KY 40601 Ph: (502) 223-1656 |
| NPI Number | 1063545820 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063545820 | NPI | - | NPPES |
| 3945 | Other | KY | DENTIST ORTHODONTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3945 (Kentucky) | Primary |
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