Provider Demographics
NPI:1821241894
Name:CHICKA, MARGARET C (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:C
Last Name:CHICKA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:SPIVEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:308 S EMERALD DR
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-3965
Mailing Address - Country:US
Mailing Address - Phone:507-273-2936
Mailing Address - Fax:
Practice Address - Street 1:413 N 17TH AVE
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-4226
Practice Address - Country:US
Practice Address - Phone:715-842-4649
Practice Address - Fax:715-842-7331
Is Sole Proprietor?:No
Enumeration Date:2008-11-03
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY86441223P0221X
WI6536-0151223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry