Christopher Fredolin Wick in Shawnee - Dentist

Christopher Fredolin Wick - NPI 1760469266

Christopher Fredolin Wick is a Dentist in Shawnee, Kansas. Christopher Fredolin Wick practices all healthcare services and medical treatments related to Dentist. The NPI Number for Christopher Fredolin Wick is 1760469266. The last update date is 2011-11-01.

Christopher Fredolin Wick's current location address is 19323 W 63rd Terrace, Shawnee, Kansas. You can contact this provider via phone number 9132695142 and fax number 8164209052. The mailing address for Christopher Fredolin Wick is 19323 W 63rd Terrace, Shawnee, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Christopher Fredolin Wick
Address 19323 W 63rd Terrace, Shawnee, Kansas
Phone Number 9132695142
Fax Number 8164209052
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1760469266
Provider Enumeration Date 2005-12-27
Last Updated Date 2011-11-01

Provider Mailing Address Detail

Address 19323 W 63rd Terrace
City Shawnee
State Kansas (KS)
Post Code 66218
Phone Number 9132695142
Fax Number 8164209052

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 2004015365
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
407174200 MO --

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FAQs about Christopher Fredolin Wick

What is the unique 10-digit identification code issued to Christopher Fredolin Wick by the Centers for Medicare & Medicaid Services?

The Christopher Fredolin Wick has been assigned the NPI (National Provider Identifier) 1760469266 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Christopher Fredolin Wick's facilities are geographically located?

The facilities of Christopher Fredolin Wick are physically situated at the following location: 19323 W 63Rd Terrace, Shawnee, KS, 66218.

What is Christopher Fredolin Wick's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Christopher Fredolin Wick is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.

On what date did Christopher Fredolin Wick receive its 1760469266 assignment from the Centers for Medicare & Medicaid Services?

The Christopher Fredolin Wick was assigned its 1760469266 on 2005-12-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Christopher Fredolin Wick most recently updated?

The details pertaining to the Christopher Fredolin Wick, including its address, specialty, and other relevant information, were last refreshed on 2011-11-01.

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