Individual
DR. THOMAS TODD HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,P.A.
Contact information
Practice address
202 S MAPLE AVE, CHESTERTOWN, MD 21620-1626
(410) 778-1297
(410) 778-3552
Mailing address
202 S MAPLE AVE, CHESTERTOWN, MD 21620-1626
(410) 778-1297
(410) 778-3352
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11044
MD
261QD0000X
Dental Clinic/Center
11044
MD
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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