Dr. Charles T Wenzel, DDS
Dentist, General Practice in Caledonia, MI. Individual provider (NPI-1).
NPI number1649765413
StatusActive
Last updated in NPPESJun 25, 2018
Details
- NPI
- 1649765413
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles T Wenzel
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2018
- Last updated
- Jun 25, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 290102274 | MI | Yes |
Practice location
9041 N Rodgers Ct SeCaledonia, MI 49316-7660
Phone 616-891-8931
Mailing address
414 Benson Ave Ne Apt 1257Grand Rapids, MI 49503-0042
Phone 989-493-0701
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