DR. Kyle Wiggins, D.M.D.

NPI #1588015341 in Charleston, Mississippi

Provider Information

NPI Number: 1588015341
Entity Type: Individual
Name: DR. Kyle Wiggins, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Jun 23, 2016
Last Updated: Jun 23, 2016

Practice Location

Address: 203 SOUTH MARKET ST
City: Charleston
State: Mississippi
ZIP Code: 38921
Phone: (662) 647-8442

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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