NPI 1003137316

Scott Willis Wiggins, DDS

Practitioner Dentist Wichita, KS

Practice location

Address: 12105 Nantucket St, Wichita, KS 67235-1224
Phone: (316) 721-9885

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 5482 (KS)

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Registry record

NPI: 1003137316
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jun 2010
Record last updated: 21 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.