Individual
DR. WILLIAM HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
181 W VINE ST, TOOELE, UT 84074-2083
(435) 882-0099
Mailing address
181 W VINE ST, TOOELE, UT 84074-2083
(435) 882-0099
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5598241-9921
UT
122300000X
Dentist
Primary
55982419921
UT
122300000X
Dentist
D 5888
AZ
225700000X
Massage Therapist
5598421-4701
UT
Other
Enumeration date
08/25/2006
Last updated
11/17/2021
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