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MACKENZIE WICKMAN
NPI 1104297571
Dental Hygienist in Lakewood, WI

Active since October 12, 2015
15397 STATE HIGHWAY 32, LAKEWOOD, WI 54138(715) 276-6321(715) 276-1428 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mackenzie Wickman NPPES

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

MACKENZIE WICKMAN (NPI 1104297571) is an individual dental hygienist in Lakewood, Wisconsin, licensed in Wisconsin (1002641) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1104297571
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameMACKENZIE WICKMAN
Location Address15397 STATE HIGHWAY 32Lakewood, WI 54138-9702
Mailing AddressPo Box 179Lakewood, WI 54138-0179 · (715) 276-6321 · Fax (715) 276-1428
Phone(715) 276-6321
Fax(715) 276-1428
Sole ProprietorNo
Enumeration DateOctober 12, 2015
Last NPPES UpdateOctober 31, 2024
NPPES CertifiedOctober 31, 2024
✔ NPI 1104297571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in WI · 1002641
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
15397 STATE HIGHWAY 32, Lakewood, WI 54138
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Other Providers at the Same Location NPPES 20

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

MS. JODI MARIE MARSH LPC
Counselor (Mental Health)
15397 STATE HIGHWAY 32, NORTHERN HEALTH CENTERS, INC.
LAKEWOOD, WI 54138
Oconto County (715) 276-6321
PEGGY S CHRISTIANSON APRN
Nurse Practitioner (Family)
15397 STATE HIGHWAY 32
LAKEWOOD, WI 54138
Oconto County (715) 276-6321
KATELYN BONEY APNP
Nurse Practitioner (Family)
15397 STATE HIGHWAY 32
LAKEWOOD, WI 54138
Oconto County (715) 715-2766
JESSICA PLUMMER RDH
Dental Hygienist
15397 STATE HIGHWAY 32
LAKEWOOD, WI 54138
Oconto County (715) 276-6321
GISELA GUNDERSON
Dental Hygienist
15397 STATE HIGHWAY 32
LAKEWOOD, WI 54138
Oconto County (715) 276-6321
ANASTASIA STARZER RDH
Dental Hygienist
15397 STATE HIGHWAY 32
LAKEWOOD, WI 54138
Oconto County (715) 276-6321
MRS. CHRISTI FOWLER MS, NCC, LPC
Counselor (Professional)
15397 STATE HIGHWAY 32
LAKEWOOD, WI 54138
Oconto County (715) 276-6321
MRS. LORI LEE NELSON RDH
Dental Hygienist
15397 STATE HIGHWAY 32
LAKEWOOD, WI 54138
Oconto County (715) 276-6321

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 Mackenzie Wickman's NPI number?

The NPI number for Mackenzie Wickman is 1104297571. It was assigned to this individual provider in the NPPES registry on October 12, 2015.

Where is Mackenzie Wickman located?

Mackenzie Wickman practices at 15397 State Highway 32, Lakewood, WI 54138. The listed phone number is (715) 276-6321.

What is Mackenzie Wickman's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Mackenzie Wickman was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.