IndividualActive
George Wickersham
NPI 1083770465 · Pediatric Dentistry · Flower Mound, TX
Provider details
- NPI number
- 1083770465
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 17875 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2260 Cross Timberes Rd
Ste a
Flower Mound, TX 75028
Phone: (972) 874-2800
Fax: (972) 539-0165
Street-level locationGet directions
Mailing address
2260 Cross Timberes Rd
Flower Mound, TX 75028
Registry dates
- Enumerated
- 2006-12-29
- Last updated
- 2007-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.