Individual provider · Type 1 NPI
George Thomas Wickersham
Pediatric Dentistry · Flower Mound, TX
NPI number
1083770465
Active
Practice location
2260 Cross Timberes Rd, Ste A
Flower Mound, TX 75028
Fax (972) 539-0165
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 17875 (TX) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Other pediatric dentistry providers in Flower Mound
About NPI 1083770465
George Thomas Wickersham's National Provider Identifier is 1083770465, issued on Dec 29, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Flower Mound, TX. The record was last updated on Oct 3, 2007.