Individual
DR. EARL PRESTON HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-0297
(859) 323-5655
Mailing address
800 ROSE ST, D104, LEXINGTON, KY 40536-0297
(859) 323-5655
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6178
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60061785
—
KY
Enumeration date
10/03/2006
Last updated
07/09/2007
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