Dr Randall Carl Wing, DDS, MS is a 
Dentist - Pediatric Dentistry based in S. Windsor, Connecticut. Dr Randall Carl Wing is licensed to practice in Connecticut (license number 007711) and his current practice location is 
1050 Sullivan Ave. Suite A-1, S. Windsor, Connecticut. He can be reached at his office (for appointments etc.) via phone at 
(860) 643-6942.
NPI number for Dr Randall Carl Wing is 1184845620 and his current mailing address is 1050 Sullivan Ave. Suite A-1, S. Windsor, Connecticut. He 
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184845620.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Dr Randall Carl Wing | 
|---|
| Gender | Male | 
|---|
| Speciality | Dentist - Pediatric Dentistry | 
|---|
| Location | 1050 Sullivan Ave. Suite A-1, S. Windsor, Connecticut | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1184845620
 - Provider Enumeration Date: 05/01/2007
 - Last Update Date: 07/08/2007
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Dr Randall Carl Wing such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1184845620 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 1223P0221X | Dentist - Pediatric Dentistry  | 007711 (Connecticut) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Randall Carl Wing is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Dr Randall Carl Wing, DDS, MS 1050 Sullivan Ave. Suite A-1, S. Windsor, CT 06074 Ph: (860) 643-6942 | Dr Randall Carl Wing, DDS, MS 1050 Sullivan Ave. Suite A-1, S. Windsor, CT 06074 Ph: (860) 643-6942 | 
		
		 
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