MICHAEL L WING (NPI# 1467636472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467636472 |
| Entity Type | Individual |
| Full Name | MICHAEL L WING |
| Credential | DDS |
| Practice Address |
404 Broadway Unit B Eagle CO 81631 |
| Mailing Address |
Po Box 2100 Eagle CO 81631-2100 |
| Practice Telephone | 9703287304 |
| Mailing Telephone | 9703287304 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8557 | CO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942295373 | Michael K. Wing | Radiology | 3650 Emergency Ln, Sebring, FL 33870-5534 | 2005-09-12 |
| 1487210761 | Michael Bradford Wing | Social Worker | 1 Arch Pl, Greenfield, MA 01301-2457 | 2019-05-13 |
| 1245421627 | Michael John Wing | Dentist | 2880 Highway 157 N, Suite 102, Mansfield, TX 76063-8849 | 2007-08-09 |
| 1083625115 | Michael Paul Wing | Physician Assistant | 3495 Bailey Ave, Emergency Department, Buffalo, NY 14215-1129 | 2006-08-11 |
| Street Address |
404 BROADWAY UNIT B |
| City | EAGLE |
| State | CO |
| Zip Code | 81631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215549662 | Andrea Browning | Social Worker | 2549 Salt Creek Road, Eagle, CO 81631 | 2020-08-18 |
| 1689213829 | Erin E Johnson | Pharmacist | 0103 Market Street, Eagle, CO 81631 | 2020-01-06 |
| 1821653825 | Lauren Lyn Ruhl | Counselor | 360 Eby Creek Road, Eagle, CO 81631 | 2019-05-06 |
| 1134626401 | Dawn Allison Nichols | Counselor | 137 Howard, Eagle, CO 81631 | 2018-04-12 |
| 1750886776 | Daniel Israel | Counselor | 137 Howard St., Eagle, CO 81631 | 2018-03-30 |
| 1962903005 | Lisa K Johnson | Massage Therapist | 717a Sylvan Lake Road, Eagle, CO 81631 | 2018-02-23 |
| 1922525815 | Susan Robinson | Physical Therapist | 1143 Capitol St, Unit 102b, Eagle, CO 81631 | 2017-08-23 |
| 1184148157 | Hallie Mclaughlin | Dental Hygienist | 530 Founders Ave, Eagle, CO 81631 | 2017-08-01 |
| 1780125252 | Brendan Quinn | Pharmacist | 264 Fulford Drive, Eagle, CO 81631 | 2017-03-16 |
| 1710428883 | Eagle Orthodontics, PC | Dentist | 011 Eagle Park Dr., Eagle, CO 81631 | 2017-03-09 |
| Find all providers in zip 81631 | ||||
| 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 |
|---|---|---|---|---|
| 1992188353 | Josh Crank | Dentist | 386 Longwood Dr, Eagle, ID 83616-5188 | 2015-07-02 |
| 1831529734 | Dental Arts of Eagle | Dentist | 112 West 6th Street, Eagle, CO 81631-0840 | 2013-11-14 |
| 1972871051 | Eagle Family Dentistry | Dentist | 1185 Capitol St, Suite 104, Eagle, CO 81631-5000 | 2011-12-05 |
| 1235435744 | Donald E Larson | Dentist | 700 E State St Ste 100, Eagle, ID 83616-5941 | 2011-01-31 |
| 1073826772 | Colton Charles | Dentist | 450 W State St Ste 180, Eagle, ID 83616-6974 | 2010-07-22 |
| 1881835353 | Castlebury Dental PC | Dentist | 3209 W. Bavaria St., Eagle, ID 83616 | 2009-03-13 |
| 1891946380 | Castle Peak Dental | Dentist | 56 Market St., Ste. 5, Eagle, CO 81631-0576 | 2008-10-02 |
| 1639394554 | Lauren A Yun | Dentist | 467 S Rivershore Ln, Eagle, ID 83616-4978 | 2007-04-16 |
| 1235352055 | Michael G Dolby | Dentist | 90 Cottonwood Ct Ste 100, Eagle, ID 83616-6577 | 2007-04-10 |
| 1962537969 | Todd Harper Shainholtz | Dentist | 112 6th St W, Eagle, CO 81631-0840 | 2007-02-22 |
| Find all providers in EAGLE | ||||
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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.