Organization · Type 2 NPI

Fredrick W Wicknick DMD Inc PS

Oral and Maxillofacial Surgery (Dentist) · Bellingham, WA

NPI number 1659592103 Active

Practice location

3136 Squalicum Pkwy, Suite #B
Bellingham, WA 98225-1954

Fax (360) 671-3010

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDE00006347 (WA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1659592103

Fredrick W Wicknick DMD Inc PS's National Provider Identifier is 1659592103, issued on May 1, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Bellingham, WA. The record was last updated on Nov 19, 2007.