National Provider Identifier
Kevin J Wicks, DDS
Kevin J Wicks, DDS is listed in the NPPES registry with a primary specialty of Dentist in Horseheads, NY and a listed phone number of (607) 796-2663.
Profile Overview
- NPI
- 1518076264
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- August 29, 2006
- Last Updated
- April 06, 2016
Practice Location
- 2860 Westinghouse RD
- Horseheads, NY 14845
Phone: (607) 796-2663
Mailing Address
- 2511 Corning RD
- Elmira, NY 14903-1047
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1518076264
- Entity Type
- Individual
- Last Name
- Wicks
- First Name
- Kevin
- Middle Name
- J
- Credential
- DDS
- Mailing Street Address
- 2511 Corning RD
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14903-1047
- Mailing Country
- US
- Mailing Phone
- (607) 796-5985
- Practice Street Address
- 2860 Westinghouse RD
- Practice City
- Horseheads
- Practice State
- NY
- Practice ZIP Code
- 14845
- Practice Country
- US
- Practice Phone
- (607) 796-2663
- Practice Fax
- (607) 796-0064
- Enumeration Date
- August 29, 2006
- Last Updated
- April 06, 2016
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)