Jody Wicks, D.D.S.

General Practice Dentistry · Reseda, CA

Individual Active NPI

NPI number 1376698910

Practice location

6915 Reseda Blvd
Suite 2
Reseda, CA 91335-4214
Phone
(818) 881-8820
Fax
(818) 881-8820

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NPI record

NPI
1376698910
Entity type
Individual (Type 1)
Enumeration date
January 24, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 033685 CA

About Dr. Wicks

Jody Wicks, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 6915 Reseda Blvd, Suite 2, Reseda, CA 91335-4214. The NPI number 1376698910 was assigned on January 24, 2007 and the record was last updated on July 8, 2007.

Dr. Wicks lists a license in the registry: #033685 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jody Wicks, D.D.S.?

The NPI number is 1376698910.

What is the phone number of Dr. Wicks?

The phone number listed for the practice location is (818) 881-8820.

Where is Dr. Wicks located?

6915 Reseda Blvd, Suite 2, Reseda, CA 91335-4214.

What is the taxonomy code for Dr. Wicks?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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