Jacqueline Palma Wingate, D.M.D., M.P.H.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

G1-0001343 Issued in DE

Practice address

325 West St Ste 101
Canandaigua, NY 14424-1787

Phone

(585) 394-4058

Fax

(585) 394-6108

NPI assigned

Jun 18, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tied Main Line Tongue Tie Professionals.

  • Pediatric Dentistry
  • Berwyn, PA
  • NPI 1255163341
  NPD Authorized official
• Canandaigua Pediatric Dentistry ,PC

  • Pediatric Dentistry
  • Canandaigua, NY
  • NPI 1427170844
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1063775989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 WEST ST STE 101",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241787",
            "telephone_number": "585-394-4058",
            "fax_number": "585-394-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 WEST ST STE 101",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241787",
            "telephone_number": "585-394-4058",
            "fax_number": "585-394-6108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2036 Foulk Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198103648",
            "country_code": "US",
            "telephone_number": "302-475-7640",
            "fax_number": "302-475-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINGATE",
        "first_name": "JACQUELINE",
        "middle_name": "PALMA",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS039446",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "057832",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "DE",
            "license": "G1-0001343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ann Williams, MSOT, OTR/L
• Wendy Williams
• Jennifer Wills, M.D.
• Julie Wilner, LMSW
• Jane M Wilson, CTRS
• Bracha Winograd, LCSW
• Rachel Wise, LMSW
• Joanne Mary Wisnieski, RPH
• Aaron J Witter
• Mark Elliot Wohlfeld, DDS

• Pediatric Dentistry in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.