Provider Demographics
NPI:1417921354
Name:WIGGS, JOSEPH P (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:P
Last Name:WIGGS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:JOSEPH
Other - Middle Name:P
Other - Last Name:WIGGS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:1916 PATTERSON ST STE 605
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2172
Mailing Address - Country:US
Mailing Address - Phone:615-329-4388
Mailing Address - Fax:615-329-1147
Practice Address - Street 1:1916 PATTERSON ST STE 605
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2172
Practice Address - Country:US
Practice Address - Phone:615-329-4388
Practice Address - Fax:615-329-1147
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-16
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6871122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist