Jody Wicks, D.D.S., Inc. in Reseda - Dental

Jody Wicks, D.D.S., Inc. - NPI 1912054107

Jody Wicks, D.D.S., Inc. is a Dental in Reseda, California. Jody Wicks, D.D.S., Inc. practices all healthcare services and medical treatments related to Dental. The NPI Number for Jody Wicks, D.D.S., Inc. is 1912054107. The last update date is 2020-08-22.

Jody Wicks, D.D.S., Inc.'s current location address is 6915 Reseda Blvd, Reseda, California. You can contact this provider via phone number 8188818820. The mailing address for Jody Wicks, D.D.S., Inc. is 6915 Reseda Blvd, Reseda, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jody Wicks, D.D.S., Inc.
Address 6915 Reseda Blvd, Reseda, California
Phone Number 8188818820
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST
Authorized Official Name Wicks Jody
Credentials D.D.S.
Telephone Number 8188818820

NPI Number Detail

NPI Number 1912054107
Provider Enumeration Date 2007-01-03
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 6915 Reseda Blvd
City Reseda
State California (CA)
Post Code 913354214
Phone Number 8188818820
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dental
Taxonomy 261Qd0000X
Licence No 33685
Definition:
Provides general and specialized dental care and oral surgery.

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FAQs about Jody Wicks, D.D.S., Inc.

What is the unique 10-digit identifier code assigned to Jody Wicks, D.D.S., Inc. by the Centers for Medicare & Medicaid Services?

The Jody Wicks, D.D.S., Inc. has been issued the NPI (National Provider Identifier) 1912054107 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Jody Wicks, D.D.S., Inc.'s facilities are geographically located?

The facilities of Jody Wicks, D.D.S., Inc. are physically situated at the following location: 6915 Reseda Blvd, Reseda, CA, 913354214.

What is Jody Wicks, D.D.S., Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jody Wicks, D.D.S., Inc.'s specialized field of practice is Dental, and the corresponding taxonomy code that categorizes this area of specialization is 261Qd0000X.

On what date was the 1912054107 assigned to Jody Wicks, D.D.S., Inc.?

The Jody Wicks, D.D.S., Inc. was issued its 1912054107 on 2007-01-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Jody Wicks, D.D.S., Inc. most recently updated?

The details pertaining to the Jody Wicks, D.D.S., Inc., including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.

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