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
Fax: (972) 539-0165
Website:

Health care specialties

SpecialtyCodeLicense #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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