Provider Demographics
NPI:1295020675
Name:TURNER, WENDELENE NICOLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:WENDELENE
Middle Name:NICOLE
Last Name:TURNER
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 1:1620 S PADRE ISLAND DRIVE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78416
Mailing Address - Country:US
Mailing Address - Phone:361-853-7156
Mailing Address - Fax:361-853-7127
Practice Address - Street 1:1620 S PADRE ISLAND DRIVE
Practice Address - Street 2:SUITE 250
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78416
Practice Address - Country:US
Practice Address - Phone:361-853-7156
Practice Address - Fax:361-853-7127
Is Sole Proprietor?:No
Enumeration Date:2011-06-14
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX26567122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist