Jamie Lizabeth Thomas Wing, DDS
Individual provider Active NPI Dentist · Church Hill, TN
NPI 1164615274 · NPPES record last updated Aug 22, 2007
Key facts
- NPI
- 1164615274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 8716 (TN)
- Practice address
- 247 Silver Lake Rd
Church Hill, TN 37642-3516 - Phone
- (423) 357-5341
- NPI assigned
- Aug 22, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8716 | TN | Yes |
Addresses
Primary practice location
247 Silver Lake Rd
Church Hill, TN 37642-3516
Mailing address
502 Tranbarger Rd
Church Hill, TN 37642-6670
Phone (423) 367-8416
Other providers in Church Hill, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.