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Active NPI 1376857771 Individual Practitioner Female Practitioner

Audrey Lee Wingo

Dentist - General Practice • Seaside, CA

Professional Overview & Biography Verified Profile Summary

Audrey Wingo is a registered healthcare professional specializing in Dentist - General Practice in Seaside, CA. Practice services are available at 1513 FREMONT BLVD # E-2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1513 Fremont Blvd # E-2

Seaside, CA 939554319

Telephone 8313244492
Associated Practice Facility / Clinic
🏢 Suman Ramakumar Dds Inc Facility NPI 1669028296

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Seaside, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Seaside, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 59475

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Wael Alfy

Dentist - General Practice

NPI 1336548536

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 28, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location July 28, 2010

Registered at 1513 FREMONT BLVD # E-2, SEASIDE, CA 939554319 (Tel: 8313244492)

📍
Updated Business Mailing Address July 28, 2010

Registered at 6484 COOPER ST, FELTON, CA 950189402

👤
Provider Name / Credentials Updated July 28, 2010

Recorded as AUDREY WINGO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2010

Dentist (License #59475 in CA)

🟢
Initial NPI Registration & Enumeration July 28, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376857771
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2010
Last Update: July 28, 2010
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

6484 Cooper St

Felton, CA 950189402

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.