BENJAMIN H. WICKSTRA DDS, PLLC (NPI# 1851685226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851685226 |
| Entity Type | Organization |
| Organization Name | BENJAMIN H. WICKSTRA DDS, PLLC |
| Practice Address |
567 Central Ave Holland MI 49423-4848 |
| Practice Telephone | 6162185795 |
| Mailing Telephone | 6162185795 |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2011-06-02 |
| Authorized Official Name | DR. BENJAMIN H WICKSTRA (PRESIDENT) |
| Authorized Official Telephone | 6162185795 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | Y |
| Parent Organization Name | BH WICKSTRA DDS PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901019584 | MI | Dental Providers |
| Street Address |
567 CENTRAL AVE |
| City | HOLLAND |
| State | MI |
| Zip Code | 49423-4848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996714 | Ella Rose Marx | Social Worker | 412 Century Lane, Holland, MI 49423 | 2019-08-02 |
| 1245720424 | Amanda Ann Allen | Behavior Technician | 165 Sorrento Drive, Holland, MI 49423 | 2018-05-14 |
| 1588194237 | Emily Amila Geurink | Physical Therapy Assistant | 4037 43rd St, Holland, MI 49423 | 2017-06-15 |
| 1285081737 | Kara Draayer | Nurse Anesthetist, Certified Registered | 25 W 8th St Ste 200, Holland, MI 49423 | 2016-05-14 |
| 1851776413 | Sara Ty | Occupational Therapist | 789 South Meadow Court, Holland, MI 49423 | 2015-07-24 |
| 1508243056 | Andrew Peasley | Chiropractor | 436 Century Ln., Holland, MI 49423 | 2015-05-05 |
| 1437536497 | Deborah Donnelly | Physical Therapy Assistant | 1221 16th Street, Holland, MI 49423 | 2015-04-29 |
| 1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
| 1003257817 | Courtney Young | Social Worker | 96 W 15 Street Midtown Center- Arbor Circle, Holland, MI 49423 | 2013-07-09 |
| 1689014391 | Jason Pettet | Acupuncturist | 500 West 17th St., Holland, MI 49423 | 2013-06-26 |
| Find all providers in zip 49423 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891315941 | Austin John Getz | Dentist | 14113 Phoenix Pl, Holland, MI 49424-7461 | 2020-04-19 |
| 1669001889 | Neville Dental Care, LLC | Dentist | 295 Buck Rd Ste 305, Holland, PA 18966-1750 | 2020-04-08 |
| 1851940068 | Smile South Holland | Dentist | 205 W 29th St Ste 100, Holland, MI 49423-6973 | 2019-09-10 |
| 1194290999 | Anderson Family and Cosmetic Dentistry | Dentist | 453 136th Ave., Holland, MI 49424 | 2018-10-08 |
| 1487139663 | Maria C. Hoekstra Dds, P.C. | Dentist | 1121 Ottawa Beach Road, Suite 100, Holland, MI 49424 | 2018-10-03 |
| 1609254069 | Anthony Charles Rademacher | Dentist | 1459 Post Ave, Holland, MI 49424-2543 | 2015-05-18 |
| 1992191415 | Caitlynn Rose Haas | Dentist | 601 Michigan Ave Ste 106, Holland, MI 49423-4951 | 2015-04-10 |
| 1891107611 | Nathan B. Poel | Dentist | 1180 Ottawa Beach Rd, Suite E, Holland, MI 49424 | 2014-05-28 |
| 1790061109 | Calderon Dental Inc | Dentist | 6658 Airport Hwy, Holland, OH 43528-8135 | 2011-10-30 |
| 1831321215 | Amanpreet Jhajj | Dentist | 3351 W Shore Dr Ste 20, Holland, MI 49424-7777 | 2009-08-18 |
| Find all providers in HOLLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.