Organization
JUSTIN A. HICKS, D.M.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN AARON HICKS D.M.D. (PRESIDENT)
(406) 216-5273
Entity
Organization
Contact information
Practice address
1301 12TH AVE S, LOWER LEVEL, GREAT FALLS, MT 59405-4600
(406) 216-5273
(406) 216-5274
Mailing address
1301 12TH AVE S, P.O. BOX 6408, GREAT FALLS, MT 59405-4600
(406) 216-5273
(406) 216-5274
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2293
MT
Other
Enumeration date
10/05/2009
Last updated
10/19/2009
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