DR. WILLIAM EDMOND WICHETA IV (NPI# 1295340529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295340529 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM EDMOND WICHETA IV |
| Credential | DDS |
| Practice Address |
3010 East Highway 190 Ste 130 Copperas Cove TX 76522 |
| Practice Telephone | 2545474866 |
| Mailing Telephone | 2545474866 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
36708 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558342386 | William Edmond Wicheta IIi | Ophthalmology | 933 Red Apple Road, Suite 100, Wenatchee, WA 98801-3370 | 2005-11-09 |
| Street Address |
3010 EAST HIGHWAY 190 STE 130 |
| City | COPPERAS COVE |
| State | TX |
| Zip Code | 76522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150540 | Kassandra Bills | Physical Therapist | 1521 E Us-190, Copperas Cove, TX 76522 | 2020-09-30 |
| 1669081923 | Southern Hills Chiropractic | Chiropractor | 1856 Patriot Cir, Copperas Cove, TX 76522 | 2020-07-23 |
| 1033735519 | Cody Michael Elenz | Chiropractor | 1856 Patriot Circle, Copperas Cove, TX 76522 | 2020-06-22 |
| 1811526247 | Silas Michael Lowery | Occupational Therapist | 1521 East Us 190, Copperas Cove, TX 76522 | 2020-04-07 |
| 1205475845 | Mia Campos | Behavioral Analyst | 1315 Mlk Jr Dr, Copperas Cove, TX 76522 | 2019-12-30 |
| 1952954638 | Cassidy Jo Mayo | Pharmacist | 2290 East Highway 190, Copperas Cove, TX 76522 | 2019-07-22 |
| 1629639448 | Van Anh Teresa Nguyen | Dentist | 2726 East Hwy 190, Suite 112, Copperas Cove, TX 76522 | 2019-06-24 |
| 1558925636 | Copperas Cove Dentistry and Orthodontics Pllc | Durable Medical Equipment & Medical Supplies | 2726 E Business 190 Suite 112, Copperas Cove, TX 76522 | 2019-04-24 |
| 1336604867 | Lspd At Cove Pllc | Dentist | 2705 E Hwy 190, Suite 101, Copperas Cove, TX 76522 | 2019-02-08 |
| 1891151999 | Copperas Cove Dentistry and Orthodontics Pllc | Dentist | 2726 E Business 190, Suite 112, Copperas Cove, TX 76522 | 2016-01-06 |
| Find all providers in zip 76522 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336604867 | Lspd At Cove Pllc | Dentist | 2705 E Hwy 190, Suite 101, Copperas Cove, TX 76522 | 2019-02-08 |
| 1407321342 | Ace Dental08 Pllc | Dentist | 301 Constitution Dr Ste 300, Copperas Cove, TX 76522-2658 | 2018-10-08 |
| 1548688229 | Cove Choice Dental | Dentist | 181 W Business 190 Ste 400, Copperas Cove, TX 76522-3671 | 2014-03-31 |
| 1174969943 | Paris E Blanco | Dentist | 2726 E Business 190 Ste 112, Copperas Cove, TX 76522-2526 | 2013-05-20 |
| 1639427230 | Elodie Levy | Dentist | 2726 E Highway 190, Suite 112, Copperas Cove, TX 76522-2522 | 2012-08-29 |
| 1790906659 | Jay Todd Elder | Dentist | 2402 Walker Place Blvd, Copperas Cove, TX 76522-3995 | 2007-05-01 |
| 1275686222 | Roland G Shellie | Dentist | 202 E Robertson Ave, Copperas Cove, TX 76522-2928 | 2007-01-20 |
| 1255405171 | Daniel Ray Moss | Dentist | 1005 W Highway 190, Copperas Cove, TX 76522-3886 | 2006-11-20 |
| 1417021957 | Stephen Brian Hutchings | Dentist | 602 E Highway 190, Copperas Cove, TX 76522-2956 | 2006-11-17 |
| 1932133550 | Daniel Caraveo | Dentist | 806 E Ave D, Suite C, Copperas Cove, TX 76522-2284 | 2006-07-10 |
| Find all providers in COPPERAS COVE | ||||
| City | COPPERAS COVE |
| Zip Code | 76522 |
Please comment or provide details below to improve the information on DR. WILLIAM EDMOND WICHETA IV.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.