Robert Daniel Wicks in Ravenna - General Practice

Robert Daniel Wicks - NPI 1053323311

Robert Daniel Wicks is a General Practice in Ravenna, Ohio. Robert Daniel Wicks practices all healthcare services and medical treatments related to General Practice. The NPI Number for Robert Daniel Wicks is 1053323311. The last update date is 2007-07-08.

Robert Daniel Wicks's current location address is 4352 Lovers Ln, Ravenna, Ohio. You can contact this provider via phone number 3302964745 and fax number 3302964745. The mailing address for Robert Daniel Wicks is 4352 Lovers Ln, Ravenna, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Daniel Wicks
Address 4352 Lovers Ln, Ravenna, Ohio
Phone Number 3302964745
Fax Number 3302964745
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1053323311
Provider Enumeration Date 2006-08-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4352 Lovers Ln
City Ravenna
State Ohio (OH)
Post Code 442669132
Phone Number 3302964745
Fax Number 3302964745

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 11930
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.

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FAQs about Robert Daniel Wicks

What is the Robert Daniel Wicks's unique identification number?

The Robert Daniel Wicks has been assigned the NPI (National Provider Identifier) Number 1053323311 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Robert Daniel Wicks is physically located?

The Robert Daniel Wicks is situated at the following address: 4352 Lovers Ln, Ravenna, OH 442669132.

What is the Robert Daniel Wicks's specialty and taxonomy code?

The Robert Daniel Wicks's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

When did the Robert Daniel Wicks receive its 1053323311?

The Robert Daniel Wicks was issued its 1053323311 on 2006-08-13, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Robert Daniel Wicks, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Robert Daniel Wicks, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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