Provider Demographics
NPI:1396835443
Name:WIGGINS, FRANCES R (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:R
Last Name:WIGGINS
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 1:24310 EDEN ST
Mailing Address - Street 2:
Mailing Address - City:PLAQUEMINE
Mailing Address - State:LA
Mailing Address - Zip Code:70764-3752
Mailing Address - Country:US
Mailing Address - Phone:225-687-3516
Mailing Address - Fax:225-687-8111
Practice Address - Street 1:24310 EDEN ST
Practice Address - Street 2:
Practice Address - City:PLAQUEMINE
Practice Address - State:LA
Practice Address - Zip Code:70764-3752
Practice Address - Country:US
Practice Address - Phone:225-687-3516
Practice Address - Fax:225-687-8111
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA41561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1841561Medicaid