DOUGLAS A WYCKOFF DDS PC (NPI# 1376734145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376734145 |
| Entity Type | Organization |
| Organization Name | DOUGLAS A WYCKOFF DDS PC |
| Practice Address |
1801 N Walnut Cameron MO 64429 |
| Mailing Address |
Po Box 464 Cameron MD 64429 |
| Practice Telephone | 8166322822 |
| Practice Fax Number | 8166325245 |
| Mailing Telephone | 8166322822 |
| Mailing Fax Number | 8166325245 |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |
| Authorized Official Name | DR. DOUGLAS ALLEN WYCKOFF (OWNER) |
| Authorized Official Telephone | 8166322822 |
| Authorized Official Credential | DDS PC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
015416 | MO | Dental Providers |
| Street Address |
1801 N WALNUT |
| City | CAMERON |
| State | MO |
| Zip Code | 64429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609498492 | Marci Rhea Cline | Nurse Practitioner | 901 N Walnut, Cameron, MO 64429 | 2020-05-14 |
| 1679116743 | Heartland Hearing Center | Hearing Instrument Specialist | 616 Lana, Cameron, MO 64429 | 2019-10-22 |
| 1801283601 | Sabeen Khaliq | Psychiatry & Neurology | 1600 E Evergreen Street, Cameron, MO 64429 | 2015-04-20 |
| 1982975363 | Stephanie Caldwell | Physical Therapy Assistant | 1007 Ensign, Apt. D, Cameron, MO 64429 | 2012-01-18 |
| 1568775377 | Renee K Hahn | Physical Therapy Assistant | 612 N Cedar St, Cameron, MO 64429 | 2010-07-21 |
| 1548587934 | Betsy Anne Fox Mcclure | Family Medicine | 2401 Se Hwy 36, Cameron, MO 64429 | 2010-04-26 |
| 1427239318 | Laura Leigh Harbison | Family Medicine | 221 E 7th, Cameron, MO 64429 | 2007-11-19 |
| 1750560611 | Audrey Christine Niemann | Speech-Language Pathologist | 1405 West Grand Avenue, Cameron, MO 64429 | 2007-10-29 |
| 1902097439 | Shahzad Shafique | Internal Medicine | 1600 E Evergreen St., Cameron Regional Medical Center, Cameron, MO 64429 | 2007-08-08 |
| 1932311693 | Cameron Healthcare Inc. | Custodial Care Facility | 318 E Little Brick St, Cameron, MO 64429 | 2007-05-04 |
| Find all providers in zip 64429 | ||||
| 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 |
|---|---|---|---|---|
| 1649825308 | Marisol Lopez | Dentist | 468 Nc Highway 24-87, Cameron, NC 28326 | 2019-08-08 |
| 1164908208 | Seulah Kim | Dentist | 468 Nc 24-87, Cameron, NC 28326-6808 | 2018-07-12 |
| 1750644092 | Mark Simeon Cummings | Dentist | 468 Nc Hwy 24-87, Cameron, NC 28326 | 2012-06-21 |
| 1124384193 | James P. Cooley | Dentist | 902 Main Street, Cameron, WI 54822-0360 | 2012-04-04 |
| 1134382211 | Tuba City Regional Health Care Corporation | Dentist | Highway 89 North At The 466 Mile Marker, 1/8 Mile N of Cameron Chapter House, Cameron, AZ 86020 | 2008-07-08 |
| 1730347048 | Kevin L Masters | Dentist | 1067 25th St, Cameron, WI 54822-9750 | 2008-05-23 |
| 1053590919 | Mark Landis Carr | Dentist | 312 N Walnut, Cameron, MO 64429-1825 | 2007-10-29 |
| 1396962684 | Daniel Thomas Smith Jr. | Dentist | 201 N Fannin Ave, Cameron, TX 76520-3363 | 2007-04-19 |
| 1598812968 | Douglas Allen Wyckoff | Dentist | 1801 North Walnut St, Cameron, MO 64429 | 2007-01-05 |
| 1013085331 | Donald Marvin Phillips | Dentist | 114 Boyce Lawton Dr, Cameron, SC 29030 | 2006-12-04 |
| Find all providers in CAMERON | ||||
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| 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.