MISS MICHEL MARIE WICKSALL DDS
NPI 1912165556
Dentist in Grand Rapids, MI

Active since May 30, 2008
4500 CASCADE RD SE, 200, GRAND RAPIDS, MI 49546(616) 975-9700(616) 975-9750 Get Directions Write a Review

NPPES record last updated: May 30, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Michel Marie Wicksall Dds NPPES

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

MISS MICHEL MARIE WICKSALL DDS (NPI 1912165556) is an individual dentist in Grand Rapids, Michigan, licensed in Michigan (16961) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1912165556
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMISS MICHEL MARIE WICKSALLCredential: DDS
Location Address4500 CASCADE RD SE, 200Grand Rapids, MI 49546
Mailing Address4500 Cascade Rd Se, 200Grand Rapids, MI 49546 · (616) 975-9700 · Fax (616) 975-9750
Fax(616) 975-9750
Sole ProprietorYes
Enumeration DateMay 30, 2008
NPI 1912165556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MI · 16961
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4500 CASCADE RD SE, Grand Rapids, MI 49546

Accepted Insurance

Other Providers at the Same Location NPPES 12

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

Dentist (General Practice)
4500 CASCADE RD SE, STE. 107
GRAND RAPIDS, MI 49546
Dentist
4500 CASCADE RD SE, SUITE #107
GRAND RAPIDS, MI 49546
Anesthesiology
4500 CASCADE RD SE
GRAND RAPIDS, MI 49546
Counselor (Mental Health)
4500 CASCADE RD SE
GRAND RAPIDS, MI 49546
Social Worker (Clinical)
4500 CASCADE RD SE
GRAND RAPIDS, MI 49546
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4500 CASCADE RD SE, SUITE 210
GRAND RAPIDS, MI 49546
Dentist (Oral and Maxillofacial Radiology)
4500 CASCADE RD SE, SUITE #208
GRAND RAPIDS, MI 49546
Dentist (Oral and Maxillofacial Pathology)
4500 CASCADE RD SE, SUITE #208
GRAND RAPIDS, MI 49546

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 Wicksall's NPI number?

The NPI number for Michel Wicksall is 1912165556. It was assigned to this individual provider in the NPPES registry on May 30, 2008.

Where is Michel Wicksall located?

Michel Wicksall practices at 4500 Cascade Rd SE 200, Grand Rapids, MI 49546. The listed phone number is (616) 975-9700.

What is Michel Wicksall's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Michel Wicksall accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Michel Wicksall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michel Wicksall was last updated on May 30, 2008. 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.