Randall Carl Wing in S. Windsor - Pediatric Dentistry
Randall Carl Wing - NPI 1184845620
Randall Carl Wing is a Pediatric Dentistry in S. Windsor, Connecticut. Randall Carl Wing practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Randall Carl Wing is 1184845620. The last update date is 2007-07-08.
Randall Carl Wing's current location address is 1050 Sullivan Ave. Suite A-1, S. Windsor, Connecticut. You can contact this provider via phone number 8606436942 and fax number 8606494347. The mailing address for Randall Carl Wing is 1050 Sullivan Ave. Suite A-1, S. Windsor, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Carl Wing |
|---|---|
| Address | 1050 Sullivan Ave. Suite A-1, S. Windsor, Connecticut |
| Phone Number | 8606436942 |
| Fax Number | 8606494347 |
| Sole Proprietor | Y |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1184845620 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1050 Sullivan Ave. Suite A-1 |
|---|---|
| City | S. Windsor |
| State | Connecticut (CT) |
| Post Code | 6074 |
| Phone Number | 8606436942 |
| Fax Number | 8606494347 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 7711 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the unique 10-digit identification code issued to Randall Carl Wing by the Centers for Medicare & Medicaid Services?
The Randall Carl Wing has been assigned the NPI (National Provider Identifier) 1184845620 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Randall Carl Wing located?
The Randall Carl Wing is located at 1050 Sullivan Ave. Suite A-1, S. Windsor, CT 6074.
What is Randall Carl Wing's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Randall Carl Wing's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services issue the 1184845620 to Randall Carl Wing?
The Randall Carl Wing received its 1184845620 assignment from the Centers for Medicare & Medicaid Services on 2007-05-01.
As of what date were the details related to Randall Carl Wing most recently updated or revised?
The information pertaining to Randall Carl Wing, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1023014131
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