Dr. Mark Walter Wick, DDS
Dentist in Savannah, MO. Individual provider (NPI-1).
NPI number1861697559
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1861697559
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark Walter Wick
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2007
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 012833 | MO | Yes |
Practice location
803 Highway #71 WestSavannah, MO 64485-1151
Phone 816-324-5644 · Fax 816-324-6307
Mailing address
803 Highway #71 WestSavannah, MO 64485-1151
Phone 816-324-5644 · Fax 816-324-6307
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