| Dr John S Wingfield Pc | |
|
510 West Havens St Mitchell SD 57301-0490 | |
| (605) 996-6211 | |
| (605) 996-6213 |
| Full Name | Dr John S Wingfield Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 510 West Havens St, Mitchell, South Dakota |
| Authorized Official Name and Position | John Stuart Wingfield (OWNER PRESIDENT) |
| Authorized Official Contact | 6059966211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John S Wingfield Pc Po Box 490 Mitchell SD 57301-0490 Ph: (605) 996-6211 | Dr John S Wingfield Pc 510 West Havens St Mitchell SD 57301-0490 Ph: (605) 996-6211 |
| NPI Number | 1194829101 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194829101 | NPI | - | NPPES |
| 7800570 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | M252 (South Dakota) | Primary |
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