Individual
DR. ALAN JOSEPH HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
276 CANCO RD, PORTLAND, ME 04103-4351
(207) 773-6177
(207) 773-6552
Mailing address
276 CANCO RD, PORTLAND, ME 04103-4351
(207) 773-6711
(207) 773-6552
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
2624
ME
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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