Provider Demographics
NPI:1033281571
Name:WINGATE, ANGELA STANBACK (DDS)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:STANBACK
Last Name:WINGATE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 NEW FIDELITY CT
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-2996
Mailing Address - Country:US
Mailing Address - Phone:919-329-0140
Mailing Address - Fax:919-329-0740
Practice Address - Street 1:210 NEW FIDELITY CT
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-2996
Practice Address - Country:US
Practice Address - Phone:919-329-0140
Practice Address - Fax:919-329-0740
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7039122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist