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MICHEL MARIE WICKSALL DDS PLC
NPI 1053984591
Dentist - General Practice in Grand Rapids, MI

Active since July 22, 2021
4880 CASCADE RD SE STE B, GRAND RAPIDS, MI 49546(616) 975-9700(616) 975-9750 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michel Marie Wicksall Dds Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHEL MARIE WICKSALL DDS PLC (NPI 1053984591), doing business as Michel Marie Wicksall Dds, is a healthcare organization registered as a general practice in Grand Rapids, Michigan and active in the NPI registry since July 2021. The organization lists Michel Wicksall, Owner, as its authorized official.

NPPES Registry Identity

NPI1053984591
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMICHEL MARIE WICKSALL DDS PLC
Location Address4880 CASCADE RD SE STE BGrand Rapids, MI 49546-3701
Mailing Address4880 Cascade Rd Se Ste BGrand Rapids, MI 49546-3701 · (616) 975-9700 · Fax (616) 975-9750
Phone(616) 975-9700
Fax(616) 975-9750
Organization SubpartNo
Authorized OfficialMichel WicksallOwner · (616) 975-9700
Enumeration DateJuly 22, 2021
NPPES CertifiedJuly 22, 2021
✔ NPI 1053984591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
4880 CASCADE RD SE STE B, Grand Rapids, MI 49546
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Other Names 1

Doing Business AsMichel Marie Wicksall Dds

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUSTIN J GETZ, DDS, PLLC
Dentist (General Practice)
4880 CASCADE RD SE STE B
GRAND RAPIDS, MI 49546
Kent County (616) 834-2163
AUSTIN JOHN GETZ DDS
Dentist (General Practice)
4880 CASCADE RD SE STE B
GRAND RAPIDS, MI 49546
Kent County (616) 834-2163
JAMES C. PAPP, DMD, PLC
Dentist (Periodontics)
4880 CASCADE RD SE STE B
GRAND RAPIDS, MI 49546
Kent County (616) 940-2854

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michel Marie Wicksall Dds Plc's NPI number?

The NPI number for Michel Marie Wicksall Dds Plc is 1053984591. It was assigned to this organization in the NPPES registry on July 22, 2021. The provider is doing business as Michel Marie Wicksall DDS.

Where is Michel Marie Wicksall Dds Plc located?

Michel Marie Wicksall Dds Plc is located at 4880 Cascade Rd SE Ste B, Grand Rapids, MI 49546. The listed phone number is (616) 975-9700.

What is Michel Marie Wicksall Dds Plc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Michel Marie Wicksall Dds Plc was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.