Dr Randall Carl Wing, DDS, MS is a
Dentist - Pediatric Dentistry based in S. Windsor, Connecticut. Dr Randall Carl Wing is licensed to practice in Connecticut (license number 007711) and his current practice location is
1050 Sullivan Ave. Suite A-1, S. Windsor, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(860) 643-6942.
NPI number for Dr Randall Carl Wing is 1184845620 and his current mailing address is 1050 Sullivan Ave. Suite A-1, S. Windsor, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184845620.
Healthcare Provider's Profile
Full Name | Dr Randall Carl Wing |
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Gender | Male |
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Speciality | Dentist - Pediatric Dentistry |
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Location | 1050 Sullivan Ave. Suite A-1, S. Windsor, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184845620
- Provider Enumeration Date: 05/01/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Randall Carl Wing such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184845620 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223P0221X | Dentist - Pediatric Dentistry | 007711 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Randall Carl Wing is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Randall Carl Wing, DDS, MS 1050 Sullivan Ave. Suite A-1, S. Windsor, CT 06074 Ph: (860) 643-6942 | Dr Randall Carl Wing, DDS, MS 1050 Sullivan Ave. Suite A-1, S. Windsor, CT 06074 Ph: (860) 643-6942 |
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