Individual
JESSICA PICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1202 N MAIN ST, AUBURN, IN 46706-1232
(260) 925-2812
(260) 925-2864
Mailing address
1202 N MAIN ST, AUBURN, IN 46706-1232
(260) 925-2812
(260) 925-2864
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011304A
IN
122300000X
Dentist
DEN4108
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164650933
NPI
IN
Enumeration date
06/30/2009
Last updated
06/18/2015
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