Jay A Wygodny, DMD PC
Dentist, General Practice in Lindenhurst, IL. Individual provider (NPI-1).
NPI number1720282999
StatusActive
Last updated in NPPESApr 5, 2021
Details
- NPI
- 1720282999
- Entity type
- Individual (NPI-1)
- Name
- Jay A Wygodny
- Credential
- DMD PC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 12, 2007
- Certification date
- Apr 5, 2021
- Last updated
- Apr 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019-019212 | IL | Yes |
Practice location
2592 E Grand Ave Ste 102Lindenhurst, IL 60046-5915
Phone 847-265-4420 · Fax 847-265-4429
Mailing address
2592 E Grand Ave Ste 102Lindenhurst, IL 60046-5915
Phone 847-265-4420
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All 10 General Practice Dentistry providers in Lindenhurst · All 205 providers in Lindenhurst
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