Individual
DR. DUSTIN NIELSEN HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
150 VETERANS BLVD, BRYSON CITY, NC 28713-8817
(772) 532-9879
Mailing address
150 VETERANS BLVD, BRYSON CITY, NC 28713-8817
(772) 532-9879
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11750
NC
1223G0001X
General Practice Dentistry
23791
FL
Other
Enumeration date
10/08/2018
Last updated
06/27/2024
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