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Individual

DR. BRADLEY SIMPSON HICKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
4500 HIGHWAY 78 E, JASPER, AL 35501-8804
(205) 221-5430
Mailing address
4500 HIGHWAY 78 E, JASPER, AL 35501-8804
(205) 221-5430

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3470
AL

Other

Enumeration date
05/31/2007
Last updated
07/08/2007
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