| Wiggins Family Dental, Pllc | |
|
203 S Market St Charleston MS 38921-2236 | |
| (662) 647-8442 | |
| (662) 647-3559 |
| Full Name | Wiggins Family Dental, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 203 S Market St, Charleston, Mississippi |
| Authorized Official Name and Position | Kyle R Wiggins (PRESIDENT/OWNER) |
| Authorized Official Contact | 6626478442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wiggins Family Dental, Pllc 203 S Market St Charleston MS 38921-2236 Ph: (662) 647-8442 | Wiggins Family Dental, Pllc 203 S Market St Charleston MS 38921-2236 Ph: (662) 647-8442 |
| NPI Number | 1518487230 |
|---|---|
| Provider Enumeration Date | 06/23/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518487230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 387116 (Mississippi) | Primary |