Individual
DR. TERENCE E HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1147 W MAIN ST, WATERBURY, CT 06708-2737
(203) 755-5641
(203) 755-1675
Mailing address
1147 W MAIN ST, WATERBURY, CT 06708-2737
(203) 755-5641
(203) 755-1675
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5521
CT
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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