Nikki A Wargo is a Dentist in Portage, Indiana. Nikki A Wargo practices all healthcare services and medical treatments related to Dentist. The NPI Number for Nikki A Wargo is 1326119728. The last update date is 2020-08-19.
Nikki A Wargo's current location address is Po Box 1430, Portage, Indiana. You can contact this provider via phone number 2197638112 and fax number 2197645380. The mailing address for Nikki A Wargo is Po Box 1430, Portage, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nikki A Wargo |
|---|---|
| Address | Po Box 1430, Portage, Indiana |
| Phone Number | 2197638112 |
| Fax Number | 2197645380 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1326119728 |
|---|---|
| Provider Enumeration Date | 2006-11-10 |
| Last Updated Date | 2020-08-19 |
Provider Mailing Address Detail
| Address | Po Box 1430 |
|---|---|
| City | Portage |
| State | Indiana (IN) |
| Post Code | 463689230 |
| Phone Number | 2197638112 |
| Fax Number | 2197645380 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 12010645A |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200490450 | IN | -- |
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What is the Nikki A Wargo's unique identification number?
The Nikki A Wargo has been assigned the NPI (National Provider Identifier) Number 1326119728 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Nikki A Wargo located?
The Nikki A Wargo is located at Po Box 1430, Portage, IN 463689230.
What is Nikki A Wargo's area of expertise and its corresponding taxonomy classification?
The Nikki A Wargo's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1326119728 to Nikki A Wargo?
The Nikki A Wargo received its 1326119728 assignment from the Centers for Medicare & Medicaid Services on 2006-11-10.
As of what date were the details related to Nikki A Wargo most recently updated or revised?
The information pertaining to Nikki A Wargo, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-19.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL