DR. DONALD JAY WICKSTRA (NPI# 1871544320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871544320 |
Entity Type | Individual |
Full Name | DR. DONALD JAY WICKSTRA |
Credential | DDS |
Practice Address |
3494 Lincoln Rd Hamilton MI 49419-9512 |
Mailing Address |
4023 134th Ave Hamilton MI 49419-9564 |
Practice Telephone | 2697514601 |
Practice Fax Number | 2697514522 |
Mailing Telephone | 2697514601 |
Mailing Fax Number | 2697514522 |
Enumeration Date | 2006-05-12 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
12270 | MI | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 0004050379 | 05 |
Street Address |
3494 LINCOLN RD |
City | HAMILTON |
State | MI |
Zip Code | 49419-9512 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821302399 | Hamilton Dentistry Pllc | Dentist | 3494 Lincoln Rd, Hamilton, MI 49419-9512 | 2010-07-27 |
1770763583 | Benjamin H Wickstra | Dentist | 3494 Lincoln Rd, Hamilton Medical Center, Hamilton, MI 49419 | 2007-11-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871789347 | Dr Gordon L Roberts Pllc | Chiropractor | 3426 M-40, Hamilton, MI 49419 | 2007-09-19 |
1295899110 | Michigan Medical, PC. | Durable Medical Equipment & Medical Supplies | 3362 Lincoln Rd. M40, Hamilton, MI 49419 | 2006-12-22 |
1457368417 | Lindsey Joy Kerber | Physical Therapy Assistant | 3941 M 40, Hamilton, MI 49419 | 2006-08-02 |
1437174273 | Gordon Lee Roberts | Chiropractor | 3494 M-40, Hamilton, MI 49419 | 2006-07-13 |
1003841305 | John Frederick Heyerman | Physical Therapist | 3491 M40, Hamilton, MI 49419 | 2006-07-12 |
1366477663 | Katie Jo Homkes | Physical Therapy Assistant | 3491 M-40, Hamilton, MI 49419 | 2006-07-12 |
1730114034 | Robert Dale Nye | Occupational Therapist | 3491 Lincoln Rd., Hamilton, MI 49419 | 2006-07-12 |
1275540494 | Rebecca Sue Childress | Occupational Therapist | 3491 Lincoln Rd, Hamilton, MI 49419 | 2006-08-01 |
1801802301 | Mark Alan Hoffmeyer | Physical Therapist | 3491 Lincoln Rd., Hamilton, MI 49419 | 2006-08-01 |
1821023128 | Marisa Leigh Duiven | Occupational Therapy Assistant | 3491 M40, Hamilton, MI 49419 | 2006-07-12 |
Find all providers in zip 49419 |
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 |
---|---|---|---|---|
1821613308 | Stephen Blaine Sherwood | Dentist | 710 S 1st St # 1, Hamilton, MT 59840-3014 | 2020-06-10 |
1881228302 | Garden State Smiles Hamilton LLC | Dentist | 3100 Quakerbridge Rd Ste 5, Hamilton, NJ 08619-1658 | 2020-02-24 |
1154820751 | Gunjan Parmar | Dentist | 731 Route 33 Ste 4, Hamilton, NJ 08619-4418 | 2018-02-08 |
1871091488 | Dr Joseph Copas Liberty West Dental Clinic LLC | Dentist | 2201 Nw Washington Blvd Ste C, Hamilton, OH 45013-5835 | 2018-01-29 |
1598126989 | Ohio Dental Professionals, Delisle, PC | Dentist | 3012 Anchor Drive, Hamilton, OH 45011 | 2016-03-11 |
1881077311 | Daniel Wharton | Dentist | 215 N 10th St Ste D, Hamilton, MT 59840-2328 | 2015-07-01 |
1174905103 | Billy Michael Greene | Dentist | 3305 48th St, Hamilton, MI 49419-9685 | 2015-06-25 |
1942611595 | Nida Mahmood | Dentist | 217 Evelyn Ave, Hamilton, NJ 08619-2017 | 2014-05-16 |
1851654388 | Navleen Kaur Thind | Dentist | 731 Route 33, Hamilton, NJ 08619-4418 | 2012-06-19 |
1215212980 | Northwest Health Services, Inc. | Dentist | 500 1/2 S Davis St, Hamilton, MO 64644-1424 | 2011-10-13 |
Find all providers in HAMILTON |
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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.