MARYBETH WICKER DDS PC NPI 1750538203

NPI Information

NPI: 1750538203
Provider Name: MARYBETH WICKER, DDS, PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
9017 FOREST HILL AVE
RICHMOND, VA
ZIP 23235
Phone: (804) 320-3200
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MARYBETH WICKER, DDS, PC is a dental clinic center in Richmond, VA. MARYBETH WICKER, DDS, PC NPI is 1750538203. The provider is registered as an organization entity type.

The provider's business location address is:

9017 FOREST HILL AVE
RICHMOND, VA
ZIP 23235-051
Phone: (804) 320-3200

The provider's authorized official is Marybeth Wicker .
The authorized official title is President and has the following contact phone number (804) 320-3200.

The enumeration date for this NPI number is 8/26/2008 and was last updated on 8/26/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	0401410286	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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