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Active NPI 1871544320 Individual Practitioner Male Practitioner

Dr. Donald Jay Wickstra , DDS

Dentist - General Practice • Hamilton, MI

Professional Overview & Biography Verified Profile Summary

Dr. Donald Wickstra, DDS is a registered healthcare professional specializing in Dentist - General Practice in Hamilton, MI. Practice services are available at 3494 LINCOLN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3494 Lincoln Rd

Hamilton, MI 494199512

Telephone 2697514601
Fax 2697514522
Associated Practice Facility / Clinic
🏢 Hamilton Dentistry Pllc Facility NPI 1821302399

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Hamilton, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
4 Specialists

Practicing in Hamilton, MI (4360 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 12270

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0004050379 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Landon Brower , DDS

Dentist - General Practice

NPI 1710627997

Doctor of Dental Surgery

Dr. Benjamin Wickstra , DDS

Dentist - General Practice

NPI 1770763583

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 3494 LINCOLN RD, HAMILTON, MI 494199512 (Tel: 2697514601)

📍
Updated Business Mailing Address July 09, 2007

Registered at 4023 134TH AVE, HAMILTON, MI 494199564 (Tel: 2697514601)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as DONALD WICKSTRA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #12270 in MI)

🟢
Initial NPI Registration & Enumeration May 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871544320
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2006
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

4023 134th Ave

Hamilton, MI 494199564

Phone: 2697514601

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.