Organization
HAROLD E. HICKAM, DDS, PC
Active
Organization
HAROLD E. HICKAM, DDS, PC
Active
Parent organization
HAROLD E. HICKAM, DDS, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAROLD E. HICKAM, DDS, PC
Authorized official
DR. HAROLD EUGENE HICKAM DDS (PRESIDENT/OWNER)
(478) 987-6522
Entity
Organization
Contact information
Practice address
753 CARROLL ST, PERRY, GA 31069-3368
(478) 987-6522
(770) 234-5477
Mailing address
753 CARROLL ST, PERRY, GA 31069-3368
(478) 987-6522
(770) 234-5477
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN008192
GA
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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