Doctor profile · Federal record
Dr. Charles Vansicklen, DDS
Student in an Organized Health Care Education/Training Program · Stockton, CA
- NPI 1629489315
- 12 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
8619 Emanuel Way
Stockton, CA 952121423
(209) 931-7931 - Mailing address
-
1430 John Wesley Gilbert Dr
Augusta, GA 309120001
Credentials & registration
- NPI registered
- May 2014 — 12 yrs on file
- Specialty taxonomy
- 390200000X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1629489315. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$21
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| BioHorizons Implant Systems Inc. | 1 | $21.03 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
115
Patients
82
Total drug cost
$439
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 72 | 59 | $196 |
| Azithromycin | Generic | 16 | 12 | $114 |
| Clindamycin Hcl | Generic | 14 | 11 | $64 |
| Chlorhexidine Gluconate | Generic | 13 | 0 | $65 |
Frequently asked questions
What is Dr. Charles Vansicklen's medical specialty?
Dr. Charles Vansicklen practices Student in an Organized Health Care Education/Training Program in Stockton, CA.
Where does Dr. Charles Vansicklen practice?
Dr. Charles Vansicklen practices at 8619 Emanuel Way, Stockton, CA 952121423. Office phone: 2099317931.
What is Dr. Charles Vansicklen's NPI?
Dr. Charles Vansicklen's National Provider Identifier (NPI) is 1629489315, issued by NPPES.