DR. David Patrick Wickness, D.M.D.

NPI #1235202953 in Champaign, Illinois

Provider Information

NPI Number
1235202953
Entity Type
Individual
Name
DR. David Patrick Wickness, D.M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
Nov 17, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1701 S PROSPECT AVE
Address 2
SUITE 203
ZIP Code
61820-7050
Phone
(217) 359-5050

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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