Dr. Carl K Wyckoff III, DDS
Dentist, General Practice in Wenonah, New Jersey
1255365235- Practice location
- 200 E Mantua Ave, Wenonah, NJ 08090-1921
- Phone
- 856-468-5858
- Fax
- 856-468-9098
- Last updated
- July 8, 2007
Carl K Wyckoff is a Dentist, General Practice based in Wenonah, NJ. Carl K Wyckoff practices in Wenonah, NJ and has the professional credentials of DDS. The NPI Number for Carl K Wyckoff is 1255365235 and holds a License No. 11728 (NJ). The current practice location address for Carl K Wyckoff is 200 E Mantua Ave, Wenonah, NJ 08090-1921 and can be reached out via phone at 856-468-5858 and via fax at 856-468-9098.
Provider Profile Details
- NPI Number
- 1255365235
- Provider Name
- Carl K Wyckoff
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 200 E Mantua Ave, Wenonah, NJ 08090-1921
- Phone Number
- 856-468-5858
- Fax Number
- 856-468-9098
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 10, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 E Mantua Ave
Wenonah, NJ 08090-1921 - City
- Wenonah
- State
- New Jersey
- Zip
- 08090-1921
- Phone Number
- 856-468-5858
- Fax Number
- 856-468-9098
Provider Business Mailing Address Details
- Address
- 200 E Mantua Ave
Wenonah, NJ 08090-1921 - City
- Wenonah
- State
- NJ
- Zip
- 08090-1921
- Phone Number
- 856-468-5858
- Fax Number
- 856-468-9098
License Information
- License Number (1)
- 11728
- License State (1)
- NJ
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X · Primary
- License Number (2)
- 16417
- License State (2)
- NJ
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Wenonah, NJ
View all Dentist, General Practice providers in Wenonah →Frequently Asked Questions
What is the NPI number of Dr. Carl K Wyckoff III, DDS?
The NPI number of Dr. Carl K Wyckoff III, DDS is 1255365235. It was assigned on July 10, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Carl K Wyckoff III, DDS?
Dr. Carl K Wyckoff III, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 11728.
Where does Dr. Carl K Wyckoff III, DDS practice?
The practice location is 200 E Mantua Ave, Wenonah, NJ 08090-1921. The office can be reached at 856-468-5858 (phone) or 856-468-9098 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255365235 directly on the NPPES registry website.