BENJAMIN H WICKSTRA DDS PLLC (NPI# 1528344363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528344363 |
| Entity Type | Organization |
| Organization Name | BENJAMIN H WICKSTRA DDS PLLC |
| Practice Address |
99 W 26th St Holland MI 49423-4970 |
| Mailing Address |
567 Central Ave Holland MI 49423-4848 |
| Practice Telephone | 6162185795 |
| Mailing Telephone | 6162185795 |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |
| Authorized Official Name | DR. BENJAMIN WICKSTRA (PRESIDENT) |
| Authorized Official Telephone | 6162185795 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1770763583 | 05 |
| Street Address |
99 W 26TH ST |
| City | HOLLAND |
| State | MI |
| Zip Code | 49423-4970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223901 | Laura Lee Slagh | Dental Hygienist | 99 W 26th St, Holland, MI 49423-4970 | 2019-03-05 |
| 1457712721 | Lisa Bailey | Dental Hygienist | 99 W 26th St, Holland, MI 49423-4970 | 2016-03-15 |
| 1659738326 | Jennifer Feenstra | Dental Hygienist | 99 W 26th St, Holland, MI 49423-4970 | 2016-01-26 |
| 1699132472 | Elizabeth Brower | Dental Hygienist | 99 W 26th St, Holland, MI 49423-4970 | 2016-01-25 |
| 1104282060 | Rebecca Jill Beekman | Dental Hygienist | 99 W 26th St, Holland, MI 49423-4970 | 2016-01-07 |
| 1154744647 | Tara Lee Kimball | Dental Hygienist | 99 W 26th St, Holland, MI 49423-4970 | 2014-02-04 |
| 1114358140 | Holland Free Health Clinic | Public Health or Welfare | 99 W 26th St, Holland, MI 49423-4970 | 2013-12-02 |
| 1295164556 | Holland Free Health Clinic | Dental Hygienist | 99 W 26th St, Holland, MI 49423-4970 | 2013-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996714 | Ella Rose Marx | Social Worker | 412 Century Lane, Holland, MI 49423 | 2019-08-02 |
| 1245720424 | Amanda Ann Allen | Behavior Technician | 165 Sorrento Drive, Holland, MI 49423 | 2018-05-14 |
| 1588194237 | Emily Amila Geurink | Physical Therapy Assistant | 4037 43rd St, Holland, MI 49423 | 2017-06-15 |
| 1285081737 | Kara Draayer | Nurse Anesthetist, Certified Registered | 25 W 8th St Ste 200, Holland, MI 49423 | 2016-05-14 |
| 1851776413 | Sara Ty | Occupational Therapist | 789 South Meadow Court, Holland, MI 49423 | 2015-07-24 |
| 1508243056 | Andrew Peasley | Chiropractor | 436 Century Ln., Holland, MI 49423 | 2015-05-05 |
| 1437536497 | Deborah Donnelly | Physical Therapy Assistant | 1221 16th Street, Holland, MI 49423 | 2015-04-29 |
| 1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
| 1003257817 | Courtney Young | Social Worker | 96 W 15 Street Midtown Center- Arbor Circle, Holland, MI 49423 | 2013-07-09 |
| 1689014391 | Jason Pettet | Acupuncturist | 500 West 17th St., Holland, MI 49423 | 2013-06-26 |
| Find all providers in zip 49423 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538788930 | Andrew Joseph Brown | Dentist | 1239 Oakhampton Rd, Holland, MI 49424-2661 | 2020-04-15 |
| 1417483223 | Morgan Catherine Hess | Dentist | 845 E 16th St, Holland, MI 49423-9130 | 2017-05-11 |
| 1881056398 | D2 Dental of Michigan, P.C. | Dentist | 2279 N Park Dr, Suite 810, Holland, MI 49424-8547 | 2016-03-23 |
| 1760897581 | Irina Frolov | Dentist | 496 Revere Dr, Holland, PA 18966-5106 | 2014-07-01 |
| 1245651413 | Eric Robert Smevog | Dentist | 12022 Beacon Hill Dr, Holland, PA 18966-5319 | 2013-12-13 |
| 1770926230 | Suk Jun Yun | Dentist | 3351 W Shore Dr, Holland, MI 49424-7790 | 2013-04-15 |
| 1447546411 | Steven Michael Prince | Dentist | 12723 N Bellwood Dr Ste 30, Holland, MI 49424-7275 | 2011-06-28 |
| 1629363593 | Sarah E Langhorst | Dentist | 3235 N Wellness Dr Ste A240, Holland, MI 49424-7264 | 2011-06-18 |
| 1811140973 | Douglas A Bleyenburg | Dentist | 170 College Ave Ste 220, Holland, MI 49423-2982 | 2008-11-02 |
| 1770762023 | Thomas E Anderson | Dentist | 1121 Ottawa Beach Road, Suite 100, Holland, MI 49424-2567 | 2007-11-02 |
| Find all providers in HOLLAND | ||||
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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.