Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Michel Marie Wicksall, DDS

Individual provider Dentist · NPI 1912165556

Miss. Michel Marie Wicksall, DDS is a Dentist in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2008
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4500 Cascade Rd SE 200
Grand Rapids, MI 49546
Phone: (616) 975-9700
Fax: (616) 975-9750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 16961 (MI)

Record details

NPI number1912165556
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 30, 2008
Last updated in NPPESMay 30, 2008

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