Alan Joseph Wickenhauser, D.M.D.
General Practice Dentistry · Bethalto, IL
Practice location
708 E Bethalto BlvdBethalto, IL 62010-1871
- Phone
- (618) 377-0044
NPI record
- NPI
- 1740468750
- Entity type
- Individual (Type 1)
- Enumeration date
- February 1, 2008
- Last updated
- August 9, 2017
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
019-024793 | IL |
About Dr. Wickenhauser
Alan Joseph Wickenhauser, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 708 E Bethalto Blvd, Bethalto, IL 62010-1871. The NPI number 1740468750 was assigned on February 1, 2008 and the record was last updated on August 9, 2017.
Dr. Wickenhauser lists a license in the registry: #019-024793 (IL) 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 Alan Joseph Wickenhauser, D.M.D.?
The NPI number is 1740468750.
What is the phone number of Dr. Wickenhauser?
The phone number listed for the practice location is (618) 377-0044.
Where is Dr. Wickenhauser located?
708 E Bethalto Blvd, Bethalto, IL 62010-1871.
What is the taxonomy code for Dr. Wickenhauser?
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.
Other General Practice Dentistry providers in Bethalto
- Audrey Brakensiek, DMD708 E Bethalto Dr