Fredrick W Wicknick Dmd Inc Ps in Bellingham - Oral And Maxillofacial Surgery

Fredrick W Wicknick Dmd Inc Ps - NPI 1659592103

Fredrick W Wicknick Dmd Inc Ps is a Oral And Maxillofacial Surgery in Bellingham, Washington. Fredrick W Wicknick Dmd Inc Ps practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Fredrick W Wicknick Dmd Inc Ps is 1659592103. The last update date is 2007-11-19.

Fredrick W Wicknick Dmd Inc Ps's current location address is 3136 Squalicum Pkwy, Bellingham, Washington. You can contact this provider via phone number 3606714859 and fax number 3606713010. The mailing address for Fredrick W Wicknick Dmd Inc Ps is 3136 Squalicum Pkwy, Bellingham, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Fredrick W Wicknick Dmd Inc Ps
Address 3136 Squalicum Pkwy, Bellingham, Washington
Phone Number 3606714859
Fax Number 3606713010
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Wicknick W Fredrick
Credentials DMD
Telephone Number 3606714859

NPI Number Detail

NPI Number 1659592103
Provider Enumeration Date 2007-05-01
Last Updated Date 2007-11-19

Provider Mailing Address Detail

Address 3136 Squalicum Pkwy
City Bellingham
State Washington (WA)
Post Code 982251954
Phone Number 3606714859
Fax Number 3606713010

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No DE00006347
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8367 WA WDS
581903 WA UNITED CONCORDIA

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FAQs about Fredrick W Wicknick Dmd Inc Ps

What is the unique 10-digit identification code assigned to Fredrick W Wicknick Dmd Inc Ps by the Centers for Medicare & Medicaid Services?

The Fredrick W Wicknick Dmd Inc Ps has been issued the NPI (National Provider Identifier) 1659592103, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Fredrick W Wicknick Dmd Inc Ps's facilities are situated?

The facilities of Fredrick W Wicknick Dmd Inc Ps are physically located at the following address: 3136 Squalicum Pkwy, Bellingham, WA, 982251954.

What is Fredrick W Wicknick Dmd Inc Ps's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Fredrick W Wicknick Dmd Inc Ps is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.

On what date did the Fredrick W Wicknick Dmd Inc Ps receive its 1659592103 assignment from the Centers for Medicare & Medicaid Services?

The Fredrick W Wicknick Dmd Inc Ps was assigned its 1659592103 by the Centers for Medicare & Medicaid Services on 2007-05-01.

When was the information regarding Fredrick W Wicknick Dmd Inc Ps, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Fredrick W Wicknick Dmd Inc Ps, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-19.

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