Organization Active NPI

Scott D. Wingard, DMD, PC

  • General Practice Dentistry
  • Augusta, GA
National Provider Identifier
1487708061
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SCOTT D. WINGARD, DMD, PC
Practice address
1450 Anthony Rd
Augusta, GA 30904-4794
Phone
(706) 738-4723
Fax
(706) 738-0128
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Authorized official

Name
Scott Douglas Wingard, DMDNPI 1073667614
Title
Owner - President
Phone
(706) 738-4723

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1450 Anthony Rd
Augusta, GA 30904-4794

Mailing address

1450 Anthony Rd
Augusta, GA 30904-4794
Phone (706) 738-4723

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1487708061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 ANTHONY RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044794",
            "telephone_number": "706-738-4723",
            "fax_number": "706-738-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 ANTHONY RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044794",
            "telephone_number": "706-738-4723",
            "fax_number": "706-738-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT D. WINGARD, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "WINGARD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER - PRESIDENT",
        "authorized_official_telephone_number": "706-738-4723",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.