Organization Active NPI

Robert J. Wygonski D.M.D., P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Hyannis, MA
National Provider Identifier
1508167313
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
019609 Issued in MA
Legal business name
ROBERT J. WYGONSKI D.M.D., P.C.
Practice address
700 Attucks LN
Suite 2E
Hyannis, MA 02601-1809
Phone
(508) 775-5676
Fax
(508) 775-4163
NPI assigned
Nov 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Authorized official

Name
Dr. Robert J Wygonski, DMD
Title
Oral and Maxillofacial Surgeon
Phone
(508) 775-5676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 019609 MA Primary

Addresses

Primary practice location

700 Attucks LN
Suite 2E
Hyannis, MA 02601-1809

Mailing address

700 Attucks LN
Suite 2E
Hyannis, MA 02601-1809
Phone (508) 775-5676

Other names 1

  • Cape & Islands Oral and Maxillofacial Surgery Other name

National Provider Directory

National Provider Directory

Locations

700 Attucks Ln
Unit 2E
Hyannis, MA 02601
Phone (508) 775-5676

NPI Registry JSON

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1508167313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ATTUCKS LN",
            "address_2": "SUITE 2E",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011809",
            "telephone_number": "508-775-5676",
            "fax_number": "508-775-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ATTUCKS LN",
            "address_2": "SUITE 2E",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011809",
            "telephone_number": "508-775-5676",
            "fax_number": "508-775-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. WYGONSKI D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "WYGONSKI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ORAL AND MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "508-775-5676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "019609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape & Islands Oral and Maxillofacial Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hyannis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.