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Mackenzie Wickman
NPI 1104297571 · Dental Hygienist · Lakewood, WI
Mackenzie Wickman is a Dental Hygienist provider in Lakewood, WI (NPI 1104297571).
Provider details
- NPI number
- 1104297571
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1002641 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
15397 State Highway 32
Lakewood, WI 54138-9702
Phone: (715) 276-6321
Fax: (715) 276-1428
Street-level locationGet directions
Mailing address
Po Box 179
Lakewood, WI 54138-0179
Registry dates
- Enumerated
- 2015-10-12
- Last updated
- 2024-10-31
- Certified
- 2024-10-31
Frequently asked questions
- What is Mackenzie Wickman's NPI number?
- Mackenzie Wickman's National Provider Identifier (NPI) is 1104297571, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mackenzie Wickman's specialty?
- Mackenzie Wickman is listed in the NPPES registry with a primary specialty of Dental Hygienist (Dental Providers).
- Where is Mackenzie Wickman located?
- Mackenzie Wickman's practice location on file with NPPES is 15397 State Highway 32, Lakewood, WI 54138-9702.
- What is Mackenzie Wickman's phone number?
- The practice phone number listed in the NPPES registry for Mackenzie Wickman is (715) 276-6321.
- Is Mackenzie Wickman's NPI active?
- Yes — Mackenzie Wickman's NPI (1104297571) is active in the NPPES registry as of the last update on 2024-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.