Wickersham, George Thomas
Wickersham, George Thomas is an individual health care provider with primary practice located at 2260 Cross Timberes Rd Ste A, Flower Mound TX 75028. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Wickersham, George Thomas can be contacted via phone (972) 874-2800.Contact Information
Primary practice address
2260 Cross Timberes Rd Ste A
Flower Mound TX 75028
Phone: (972) 874-2800
Fax: (972) 539-0165
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 17875 | Texas |
Profile Details
| NPI number | 1083770465 |
|---|---|
| LBN Legal business name | Wickersham, George Thomas |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Oct 3rd, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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