Organization
ERIC W HICKMAN DDS INC
Active
Organization
ERIC W HICKMAN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC WAYNE HICKMAN DDS MS (ORTHODONTIST PRESIDENT)
(513) 697-9772
Entity
Organization
Contact information
Practice address
3116 L MONTGOMERY RD, MAINEVILLE, OH 45039
(513) 697-9772
(513) 697-0227
Mailing address
3116 L MONTGOMERY RD, MAINEVILLE, OH 45039
(513) 697-9772
(513) 697-0227
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30020260
OH
Other
Enumeration date
01/29/2007
Last updated
08/28/2012
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