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General NPI Number Information
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NPI Number | 1134093065
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Entity Type | Organization
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Legal Business Name | J WINGER, DDS, PLLC
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 7012 NE 40TH ST
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City | VANCOUVER
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State | WA
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Zip | 98661-3052
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Country | US
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Telephone | 360-254-5254
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Fax |
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Provider Business Mailing Address
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Address Line | 8512 NE 134TH PL
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City | VANCOUVER
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State | WA
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Zip | 98682-6998
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JORDAN WINGER
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Credential | DDS
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Telephone | 916-212-2434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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