DR. DONALD JAY WICKSTRA


Address: 3494 Lincoln Rd, Hamilton, MI 49419-9512
Phone: 2697514601

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
12270 MI Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI 0004050379 05

Office Location

Street Address 3494 LINCOLN RD
City HAMILTON
State MI
Zip Code 49419-9512

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

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City HAMILTON
Zip Code 49419

Improve Information

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Dataset Information

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.

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