# GC DENTAL ASSOCIATES, PA

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

## Provider details

- **NPI number:** 1881080760
- **Authorized official:** THOMAS HICKEY DMD (OWNER)
- **Authorized official phone:** (772) 359-8962

## Contact information

- **Practice address:** 1620 N US HIGHWAY 1, SUITE 2, TEQUESTA, FL 33469-3228
- **Practice address phone:** (561) 746-3290
- **Mailing address:** 1010 SE KITCHING COVE LANE, PORT SAINT LUCIE, FL 34952
- **Mailing address phone:** (772) 359-8962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DN11997 | FL | Yes |

## Other

- **Enumeration date:** 04/08/2015
- **Last updated:** 04/08/2015
