Organization · Type 2 NPI

Michel Marie Wicksall DDS PLC

General Practice Dentistry · Grand Rapids, MI

NPI number 1053984591 Active

Practice location

4880 Cascade Rd SE Ste B
Grand Rapids, MI 49546-3701

Call (616) 975-9700 Map

Fax (616) 975-9750

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: 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.

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About NPI 1053984591

Michel Marie Wicksall DDS PLC's National Provider Identifier is 1053984591, issued on Jul 22, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 22, 2021.