MS. AUDREY LEE WINGO (NPI# 1376857771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376857771 |
| Entity Type | Individual |
| Full Name | MS. AUDREY LEE WINGO |
| Practice Address |
1513 Fremont Blvd # E-2 Seaside CA 93955-4319 |
| Mailing Address |
6484 Cooper St Felton CA 95018-9402 |
| Practice Telephone | 8313244492 |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
59475 | CA | Dental Providers |
| Street Address |
1513 FREMONT BLVD # E-2 |
| City | SEASIDE |
| State | CA |
| Zip Code | 93955-4319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912472614 | Benbenedic Montoya Aquino | Registered Nurse | 2095, 2095 Paralta Avenue, Seaside, CA 93955 | 2018-10-09 |
| 1316435803 | Teddy Yaw Akosa Agyapong | Pharmacist | 1055 Fremont Bld, Seaside, CA 93955 | 2018-04-30 |
| 1700381423 | Edmundo Fimbres Od Inc | Optometrist | 915 Hilby Ave Ste 1, Seaside, CA 93955 | 2018-03-26 |
| 1275948671 | Brian Peter Farley | Marriage & Family Therapist | 1187 Broadway Ave, Seaside, CA 93955 | 2014-06-24 |
| 1689953044 | Vertis Nathaniel Elmore IIi | Marriage & Family Therapist | 1069 Broadway Ave., Suite 201, Seaside, CA 93955 | 2011-08-16 |
| 1598944993 | Mary Theresa Panlilio | Dentist | 1249 Fremont Blvd, Suite B, Seaside, CA 93955 | 2007-11-01 |
| 1346459641 | Caroline Thomas Haskell | Social Worker | 100 Campus Center, Bldg 80, Seaside, CA 93955 | 2007-05-22 |
| 1811014715 | Anita Gor | Optometrist | 2040 California Ave. Target, Target Optical, Sand City, CA 93955 | 2007-03-23 |
| 1942333059 | Central Coast Pediatric Dental Group | Dentist | 1717 Fremont Blvd, Seaside, CA 93955 | 2007-03-14 |
| 1831209436 | Costco Wholesale Corporation | Pharmacy | 801 Tioga Ave, Sand City, CA 93955 | 2006-08-30 |
| Find all providers in zip 93955 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598327017 | Mayank Sharma | Dentist | 1130 Fremont Blvd Ste 106, Seaside, CA 93955-5750 | 2019-07-04 |
| 1487047197 | Seaside Dental Clinic | Dentist | 729 S Holladay Drive, Seaside, OR 97138 | 2015-03-05 |
| 1851443055 | William Moy | Dentist | 4550 Peninsula Point Dr, Seaside, CA 93955-6544 | 2007-01-17 |
| 1518023571 | Scott Nuuanu Santos | Dentist | 427 S Holladay Dr, Seaside, OR 97138-6729 | 2006-12-27 |
| 1144388430 | Weidong Wang | Dentist | 1165 Fremont Blvd, Seaside, CA 93955-5741 | 2006-12-05 |
| 1043391329 | Monte L. Baumgartner | Dentist | 508 N Holladay Dr, Seaside, OR 97138-6924 | 2006-10-17 |
| 1477545424 | Bryce Orrick Evans | Dentist | 729 S Holladay Dr, Seaside, OR 97138-6606 | 2005-08-16 |
| 1104206739 | Sumeet Singh, Dds, A Dental Corporation | Dentist | 1130 Fremont Blvd, Suite-106, Seaside, CA 93955-5700 | 2015-06-09 |
| 1336548536 | Wael Alfy | Dentist | 1513 Fremont Blvd, Suite E-2, Seaside, CA 93955-4319 | 2014-08-14 |
| 1265872311 | Sumeet Singh | Dentist | 1513 Fremont Blvd, Suite E-2, Seaside, CA 93955-4319 | 2013-07-02 |
| Find all providers in SEASIDE | ||||
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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.