DR. RANDALL CARL WING (NPI# 1184845620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184845620 |
| Entity Type | Individual |
| Full Name | DR. RANDALL CARL WING |
| Credential | D.D.S., M.S. |
| Practice Address |
1050 Sullivan Ave. Suite A-1 S. Windsor CT 06074 |
| Practice Telephone | 8606436942 |
| Practice Fax Number | 8606494347 |
| Mailing Telephone | 8606436942 |
| Mailing Fax Number | 8606494347 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
007711 | CT | Dental Providers |
| Street Address |
1050 SULLIVAN AVE. SUITE A-1 |
| City | S. WINDSOR |
| State | CT |
| Zip Code | 06074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144919 | Russo Therapeutics, LLC | Occupational Therapist | 561 King Street, South Windsor, CT 06074 | 2020-05-04 |
| 1144706631 | Chana Judith Hoagland | Nurse Practitioner | 276 Quarry Brook Drive, South Windsor, CT 06074 | 2018-07-17 |
| 1093203291 | Climb Medical Group LLC | Counselor | 828 Sullivan Ave Ste A, South Windsor, CT 06074 | 2018-04-24 |
| 1528506516 | William P Guinan, Md and Associates LLC | Obstetrics & Gynecology | 25 Oakland Road, South Windsor, CT 06074 | 2017-02-09 |
| 1487027678 | Nadine Caron | Nurse Practitioner | 34 Pleasant Valley Rd, South Windsor, CT 06074 | 2015-11-10 |
| 1275957920 | Ellen Carol Ronsivalli | Dietitian, Registered | 70 High Street, South Windsor, CT 06074 | 2014-02-14 |
| 1881036457 | Chandra Yellinedi | Pharmacist | 55 Frazer Fir, South Windsor, CT 06074 | 2013-07-24 |
| 1144665969 | Brian Thomas Moy | Internal Medicine | 2400 Tamarack Ave Ste 101, South Windsor, CT 06074 | 2013-05-07 |
| 1093072886 | Lydia Lormand | Obstetrics & Gynecology | 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 | 2012-04-18 |
| 1578847307 | International Institute for Professional Development, LLC | Social Worker | 435 Buckland Hills Road, South Windsor, CT 06074 | 2011-09-28 |
| Find all providers in zip 06074 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902426240 | River Road Pediatric Dentistry, LLC | Dentist | 865 River Rd Ste 10, Shelton, CT 06484-5464 | 2020-04-16 |
| 1326507369 | True Pediatric Dental Care LLC | Dentist | 233 Elm St Fl 2, West Haven, CT 06516-4635 | 2019-03-19 |
| 1740756345 | Grace Tylo LLC | Dentist | 35 Cold Spring Rd Ste 324, Rocky Hill, CT 06067-3163 | 2018-10-22 |
| 1932684990 | Orange Children's Dentistry, LLC | Dentist | 518 Boston Post Rd Ste 4-5, Orange, CT 06477-3554 | 2018-09-26 |
| 1992293443 | Braces On Me, P.C. | Dentist | 209 Boston Post Rd Ste 312, Milford, CT 06460-3161 | 2018-04-30 |
| 1417452541 | Bloomfield Pediatric Dentistry Pllc | Dentist | 34 Jerome Ave Ste 200, Bloomfield, CT 06002-2463 | 2018-03-29 |
| 1033622246 | Magicland Pediatric Dental LLC | Dentist | 815 Wolcott St, Waterbury, CT 06705-1301 | 2017-11-09 |
| 1023569654 | The Little Tooth Company Pediatric Dentistry LLC | Dentist | 264 Queen St, Suite A, Southington, CT 06489-1901 | 2016-10-19 |
| 1386035707 | Modern Family Dental | Dentist | 360 Boston Ave, Suite 17, Stratford, CT 06614-5213 | 2015-02-06 |
| 1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
| Find all providers with the same taxonomy | ||||
| City | S. WINDSOR |
| Zip Code | 06074 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.