Individual
ALAN RICHARD HICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
422 WEST CHESTNUT STREET, BRECKENRIDGE, MI 48615-0241
(989) 842-3151
Mailing address
PO BOX 241, BRECKENRIDGE, MI 48615-0241
(989) 842-3151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13235
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AH1826114
—
MI
Enumeration date
04/29/2008
Last updated
04/29/2008
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