Russell A Wicks is a Dentist in Memphis, Tennessee. Russell A Wicks practices all healthcare services and medical treatments related to Dentist. The NPI Number for Russell A Wicks is 1841372257. The last update date is 2007-07-08.
Russell A Wicks's current location address is 910 Madison Ave, Memphis, Tennessee. You can contact this provider via phone number 9014486476 and fax number 9014481390. The mailing address for Russell A Wicks is 910 Madison Ave, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Name | Russell A Wicks |
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Address | 910 Madison Ave, Memphis, Tennessee |
Phone Number | 9014486476 |
Fax Number | 9014481390 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1841372257 |
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Provider Enumeration Date | 2006-10-19 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 910 Madison Ave |
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City | Memphis |
State | Tennessee (TN) |
Post Code | 381630001 |
Phone Number | 9014486476 |
Fax Number | 9014481390 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 3320 |
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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What is the unique 10-digit identification code issued to Russell A Wicks by the Centers for Medicare & Medicaid Services?
The Russell A Wicks has been assigned the NPI (National Provider Identifier) 1841372257 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Russell A Wicks's facilities are situated?
The facilities of Russell A Wicks are physically located at the following address: 910 Madison Ave, Memphis, TN, 381630001.
What is the Russell A Wicks's specialty and taxonomy code?
The Russell A Wicks's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When did the Russell A Wicks receive its 1841372257?
The Russell A Wicks was issued its 1841372257 on 2006-10-19, which is the date when the organization was assigned this unique identifier.
As of what date were the Russell A Wicks's details last updated?
The information pertaining to the Russell A Wicks, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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