Joseph C. Wigfield, D.D.S., LLC
Organization Active NPI Dentist · Magnolia, OH
NPI 1992954382 · NPPES record last updated Sep 10, 2008
Key facts
- NPI
- 1992954382
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 30021486 (OH)
- Legal business name
- JOSEPH C. WIGFIELD, D.D.S., LLC
- Practice address
- 5371 State Route 183 NE
Magnolia, OH 44643 - Phone
- (330) 866-5555
- Fax
- (330) 866-1800
- NPI assigned
- Sep 10, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Joseph C Wigfield, D.D.S.
- Title
- Dentist
- Phone
- (330) 866-5555
Practitioners 1
-
Joseph C Wigfield, DDS
National Provider Directory
Locations
5371 State Route 183 NE
Magnolia, OH 44643
Phone (330) 866-5555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 30021486 | OH | Yes |
Addresses
Primary practice location
5371 State Route 183 NE
Magnolia, OH 44643
Mailing address
5371 State Route 183 N.E.
Magnolia, OH 44643
Phone (330) 866-5555
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2755808 | Medicaid | OH |
Other names
- Sandy Valley Dental Care
Other providers in Magnolia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2008. 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.