National Provider Identifier

Jacqueline Palma Wingate, D.M.D., M.P.H.

Jacqueline Palma Wingate, D.M.D., M.P.H. is listed in the NPPES registry with a primary specialty of Pediatric Dentistry in Canandaigua, NY and a listed phone number of (585) 394-4058.

NPI 1063775989Canandaigua, NYPediatric Dentistry

Profile Overview

NPI
1063775989
Provider Type
Individual
Primary Specialty
Pediatric Dentistry
Enumeration Date
June 18, 2012
Last Updated
December 28, 2018

Practice Location

  • 325 West St Ste 101
  • Canandaigua, NY 14424-1787

Phone: (585) 394-4058

Specialties

  • Pediatric Dentistry (1223P0221X)
  • Pediatric Dentistry (1223P0221X)
Full Record
NPI
1063775989
Entity Type
Individual
Last Name
Wingate
First Name
Jacqueline
Middle Name
Palma
Name Prefix
Dr.
Credential
D.M.D., M.P.H.
Mailing Street Address
325 West St Ste 101
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-1787
Mailing Country
US
Mailing Phone
(585) 394-4058
Mailing Fax
(585) 394-6108
Practice Street Address
325 West St Ste 101
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1787
Practice Country
US
Practice Phone
(585) 394-4058
Practice Fax
(585) 394-6108
Enumeration Date
June 18, 2012
Last Updated
December 28, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Dentistry (1223P0221X), Pediatric Dentistry (1223P0221X)