Organization
EDWARD V HICKMAN DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD V HICKMAN DDS (PRESIDENT)
(910) 738-8444
Entity
Organization
Contact information
Practice address
720 OAKRIDGE BLVD, LUMBERTON, NC 28358
(910) 738-8444
(910) 671-8251
Mailing address
720 OAKRIDGE BLVD, LUMBERTON, NC 28358
(910) 738-8444
(910) 671-8251
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5398
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8993889
—
NC
01
—
93889
BCBS OF NC
NC
Enumeration date
08/25/2006
Last updated
08/22/2020
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