Benjamin H. Wickstra, DDS

General Practice Dentistry · Hamilton, MI

Individual Active NPI

NPI number 1770763583

Practice location

3494 Lincoln Rd
Hamilton Medical Center
Hamilton, MI 49419
Phone
(269) 751-4601

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NPI record

NPI
1770763583
Entity type
Individual (Type 1)
Enumeration date
November 8, 2007
Last updated
July 16, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2901019584 MI
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

PO Box 256
Hamilton, MI 49419-0256
Phone
(269) 751-4601

About Dr. Wickstra

Benjamin H. Wickstra, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3494 Lincoln Rd, Hamilton Medical Center, Hamilton, MI 49419. The NPI number 1770763583 was assigned on November 8, 2007 and the record was last updated on July 16, 2008.

Dr. Wickstra lists a license in the registry: #2901019584 (MI) 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 Benjamin H. Wickstra, DDS?

The NPI number is 1770763583.

What is the phone number of Dr. Wickstra?

The phone number listed for the practice location is (269) 751-4601.

Where is Dr. Wickstra located?

3494 Lincoln Rd, Hamilton Medical Center, Hamilton, MI 49419.

What is the taxonomy code for Dr. Wickstra?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

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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