DR. JEFFREY KENT WICHMANN D.D.S. NPI 1184712838

NPI Information

  • NPI: 1184712838
  • Provider Name: DR. JEFFREY KENT WICHMANN, D.D.S.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7373 147TH ST. W. #116
    APPLE VALLEY, MN
    ZIP 55124
  • Phone: (952) 432-8110

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NPI Details

DR. Jeffrey Kent Wichmann, D.D.S. is a general practice dentist in Apple Valley, MN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Jeffrey Kent Wichmann, D.D.S. NPI is 1184712838. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7373 147TH ST. W. #116
APPLE VALLEY, MN
ZIP 55124
Phone: (952) 432-8110
Fax: (952) 432-4457

The NPI 1184712838 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 10/10/2006 and was last updated on 10/30/2017.

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
11223G0001XDentistGeneral Practice12069MINNESOTAYes
21223G0001XDentistGeneral PracticeD12069MINNESOTANo

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: 3/30/2025

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