Mark Wade Wingate in Waco - Dentist

Mark Wade Wingate - NPI 1992854376

Mark Wade Wingate is a Dentist in Waco, Texas. Mark Wade Wingate practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark Wade Wingate is 1992854376. The last update date is 2007-07-08.

Mark Wade Wingate's current location address is 5001 Lakewood Drive, Waco, Texas. You can contact this provider via phone number 2547720180 and fax number 2547720181. The mailing address for Mark Wade Wingate is 5001 Lakewood Drive, Waco, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Wade Wingate
Address 5001 Lakewood Drive, Waco, Texas
Phone Number 2547720180
Fax Number 2547720181
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1992854376
Provider Enumeration Date 2007-01-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5001 Lakewood Drive
City Waco
State Texas (TX)
Post Code 767102920
Phone Number 2547720180
Fax Number 2547720181

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 16407
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
BCBSD16407 TX BCBS

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FAQs about Mark Wade Wingate

What is the unique identifier code issued to Mark Wade Wingate by the Centers for Medicare & Medicaid Services?

The Mark Wade Wingate has been assigned the NPI (National Provider Identifier) 1992854376. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Mark Wade Wingate is located?

The Mark Wade Wingate is situated at the following address: 5001 Lakewood Drive, Waco, TX, 767102920.

What is Mark Wade Wingate's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Mark Wade Wingate is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.

On what date did Mark Wade Wingate receive its 1992854376 assignment from the Centers for Medicare & Medicaid Services?

The Mark Wade Wingate was assigned its 1992854376 on 2007-01-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Mark Wade Wingate's information last updated?

The Mark Wade Wingate's information was last updated on 2007-07-08.

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