Benjamin H. Wickstra DDS, PLLC
General Practice Dentistry · Holland, MI
Practice location
567 Central AveHolland, MI 49423-4848
- Phone
- (616) 218-5795
NPI record
- NPI
- 1851685226
- Entity type
- Organization (Type 2)
- Enumeration date
- June 2, 2011
- Last updated
- June 2, 2011
- Organization subpart
- Yes
- Parent organization
- BH Wickstra DDS PC
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
2901019584 | MI |
Authorized official
- Name
- Dr. Benjamin H Wickstra, D.D.S.
- Title
- President
- Phone
- (616) 218-5795
About Benjamin H. Wickstra DDS, PLLC
Benjamin H. Wickstra DDS, PLLC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 567 Central Ave, Holland, MI 49423-4848. The NPI number 1851685226 was assigned on June 2, 2011 and the record was last updated on June 2, 2011.
Benjamin H. Wickstra DDS, PLLC 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.
The authorized official for this organization is Dr. Benjamin H Wickstra, D.D.S., President.
Frequently asked questions
What is the NPI number of Benjamin H. Wickstra DDS, PLLC?
The NPI number is 1851685226.
What is the phone number of Benjamin H. Wickstra DDS, PLLC?
The phone number listed for the practice location is (616) 218-5795.
Where is Benjamin H. Wickstra DDS, PLLC located?
567 Central Ave, Holland, MI 49423-4848.
What is the taxonomy code for Benjamin H. Wickstra DDS, PLLC?
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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