# JUSTIN A. HICKS, D.M.D., PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154656361
- **Authorized official:** DR. JUSTIN AARON HICKS D.M.D. (PRESIDENT)
- **Authorized official phone:** (406) 216-5273

## Contact information

- **Practice address:** 1301 12TH AVE S, LOWER LEVEL, GREAT FALLS, MT 59405-4600
- **Practice address phone:** (406) 216-5273
- **Practice address fax:** (406) 216-5274
- **Mailing address:** 1301 12TH AVE S, P.O. BOX 6408, GREAT FALLS, MT 59405-4600
- **Mailing address phone:** (406) 216-5273
- **Mailing address fax:** (406) 216-5274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2293 | MT | Yes |

## Other

- **Enumeration date:** 10/05/2009
- **Last updated:** 10/19/2009