DR. CHARLES VANSICKLEN DDS
NPI 1629489315
Student in an Organized Health Care Education/Training Program in Stockton, CA

Q: What is Charles Vansicklen's NPI number?

The NPI number for Charles Vansicklen is 1629489315. It was assigned to this individual provider in the NPPES registry on May 15, 2014.

Q: What is Charles Vansicklen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since May 15, 2014

8619 EMANUEL WAY, STOCKTON, CA 95212(209) 931-7931 Get Directions Write a Review

NPPES record last updated: May 15, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Charles Vansicklen Dds NPPES

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

DR. CHARLES VANSICKLEN DDS (NPI 1629489315) is an individual student in an organized health care education/training program in Stockton, California and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1629489315

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. CHARLES VANSICKLENCredential: DDS

Location Address8619 EMANUEL WAYStockton, CA 95212-1423

Mailing Address1430 John Wesley Gilbert DrAugusta, GA 30912-0001 · (706) 721-4025

Phone(209) 931-7931

Sole ProprietorNo

Enumeration DateMay 15, 2014

✔ NPI 1629489315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

8619 EMANUEL WAY, Stockton, CA 95212

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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 Charles Vansicklen's NPI number?

The NPI number for Charles Vansicklen is 1629489315. It was assigned to this individual provider in the NPPES registry on May 15, 2014.

Where is Charles Vansicklen located?

Charles Vansicklen practices at 8619 Emanuel Way, Stockton, CA 95212. The listed phone number is (209) 931-7931.

What is Charles Vansicklen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Charles Vansicklen was last updated on May 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.