Jane Wickers is a Dentist in Wenham, Massachusetts. Jane Wickers practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jane Wickers is 1477691863. The last update date is 2007-07-08.
Jane Wickers's current location address is 20 Porter St, Wenham, Massachusetts. You can contact this provider via phone number 9784682911. The mailing address for Jane Wickers is 20 Porter St, Wenham, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jane Wickers |
|---|---|
| Address | 20 Porter St, Wenham, Massachusetts |
| Phone Number | 9784682911 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1477691863 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 20 Porter St |
|---|---|
| City | Wenham |
| State | Massachusetts (MA) |
| Post Code | 198414260 |
| Phone Number | 9784682911 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 17148 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| XO6701 | MA | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Jane Wickers by the Centers for Medicare & Medicaid Services?
The Jane Wickers has been assigned the NPI (National Provider Identifier) 1477691863. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jane Wickers?
The Jane Wickers is situated at 20 Porter St, in the city of Wenham, state of MA, with the zip code 198414260.
What is Jane Wickers's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jane Wickers is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1477691863 to Jane Wickers?
The Centers for Medicare & Medicaid Services originally issued the 1477691863 to Jane Wickers on 2007-02-01.
When was the information pertaining to Jane Wickers most recently updated or revised?
The details related to Jane Wickers, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.