Provider Demographics
NPI:1275083487
Name:GILES, GOINS, & WIGGINS, DDS, PA
Entity Type:Organization
Organization Name:GILES, GOINS, & WIGGINS, DDS, PA
Other - Org Name:HARMONY FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:WIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-599-2511
Mailing Address - Street 1:513 HOLLYMONT DR
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-5956
Mailing Address - Country:US
Mailing Address - Phone:919-599-2511
Mailing Address - Fax:
Practice Address - Street 1:5318 NC HIGHWAY 55
Practice Address - Street 2:SUITE 101
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-9659
Practice Address - Country:US
Practice Address - Phone:919-484-0880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-12
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty