FREDRICK W WICKNICK DMD INC PS
NPI 1659592103
Dentist - Oral and Maxillofacial Surgery in Bellingham, WA

Active since May 01, 2007
3136 SQUALICUM PKWY, SUITE #B, BELLINGHAM, WA 98225(360) 671-4859(360) 671-3010 Get Directions Write a Review

NPPES record last updated: November 19, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fredrick W Wicknick Dmd Inc Ps NPPES

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

FREDRICK W WICKNICK DMD INC PS (NPI 1659592103) is a healthcare organization registered as an oral and maxillofacial surgery in Bellingham, Washington and active in the NPI registry since May 2007. The organization lists Fredrick W Wicknick, President, as its authorized official.

NPPES Registry Identity

NPI1659592103
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameFREDRICK W WICKNICK DMD INC PS
Location Address3136 SQUALICUM PKWY, SUITE #BBellingham, WA 98225-1954
Mailing Address3136 Squalicum Pkwy, Suite #bBellingham, WA 98225-1954 · (360) 671-4859 · Fax (360) 671-3010
Fax(360) 671-3010
Organization SubpartNo
Authorized OfficialFredrick W WicknickPresident · (360) 671-4859
Enumeration DateMay 1, 2007
Last NPPES UpdateNovember 19, 2007
NPI 1659592103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in WA · DE00006347
Definition
An oral and maxillofacial surgery dentist specialized in 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.
3136 SQUALICUM PKWY, Bellingham, WA 98225

Other Identifiers 3

Other08367WA · Wds
Other581903WA · United Concordia
Medicare UPINT54040WA

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 4

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

Dentist (General Practice)
3136 SQUALICUM PKWY
BELLINGHAM, WA 98225
Dentist (General Practice)
3136 SQUALICUM PKWY, SUITE A
BELLINGHAM, WA 98225
Dentist
3136 SQUALICUM PKWY, STE. B
BELLINGHAM, WA 98225
Clinic/Center (Oral and Maxillofacial Surgery)
3136 SQUALICUM PKWY
BELLINGHAM, WA 98225

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 Fredrick W Wicknick Dmd Inc Ps's NPI number?

The NPI number for Fredrick W Wicknick Dmd Inc Ps is 1659592103. It was assigned to this organization in the NPPES registry on May 1, 2007.

Where is Fredrick W Wicknick Dmd Inc Ps located?

Fredrick W Wicknick Dmd Inc Ps is located at 3136 Squalicum Pkwy Suite #b, Bellingham, WA 98225. The listed phone number is (360) 671-4859.

What is Fredrick W Wicknick Dmd Inc Ps's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Fredrick W Wicknick Dmd Inc Ps was last updated on November 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.