OrganizationActive
Michel Marie Wicksall DDS PLC
NPI 1053984591 · General Practice Dentistry · Grand Rapids, MI
Michel Marie Wicksall DDS PLC is a General Practice Dentistry organization in Grand Rapids, MI (NPI 1053984591).
Provider details
- NPI number
- 1053984591
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Michel Wicksall, Owner(616) 975-9700
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4880 Cascade Rd Se Ste B
Grand Rapids, MI 49546-3701
Phone: (616) 975-9700
Fax: (616) 975-9750
Street-level locationGet directions
Mailing address
4880 Cascade Rd Se Ste B
Grand Rapids, MI 49546-3701
Other names (DBA / former)
- Doing business as
- Michel Marie Wicksall DDS
Registry dates
- Enumerated
- 2021-07-22
- Last updated
- 2021-07-22
- Certified
- 2021-07-22
Frequently asked questions
- What is Michel Marie Wicksall DDS PLC's NPI number?
- Michel Marie Wicksall DDS PLC's National Provider Identifier (NPI) is 1053984591, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Michel Marie Wicksall DDS PLC?
- Michel Marie Wicksall DDS PLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Michel Marie Wicksall DDS PLC located?
- Michel Marie Wicksall DDS PLC's practice location on file with NPPES is 4880 Cascade Rd Se Ste B, Grand Rapids, MI 49546-3701.
- What is Michel Marie Wicksall DDS PLC's phone number?
- The practice phone number listed in the NPPES registry for Michel Marie Wicksall DDS PLC is (616) 975-9700.
- Who is the authorized official for Michel Marie Wicksall DDS PLC?
- The authorized official listed on Michel Marie Wicksall DDS PLC's NPPES record is Michel Wicksall, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Michel Marie Wicksall DDS PLC's NPI active?
- Yes — Michel Marie Wicksall DDS PLC's NPI (1053984591) is active in the NPPES registry as of the last update on 2021-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.