Individual
DR. JOSEPH E HICKEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6910 N MAIN ST, BLDG 1, UNIT 58, GRANGER, IN 46530-9680
(574) 277-4235
Mailing address
6910 N MAIN ST, BLDG 1, UNIT 58, GRANGER, IN 46530-9680
(574) 277-4235
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011040
IN
Other
Enumeration date
07/20/2007
Last updated
06/01/2016
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