Individual
DR. J. ROBERT HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
121 W KAGY BLVD, BOZEMAN, MT 59715-6000
(406) 587-7200
(406) 587-4621
Mailing address
121 W KAGY BLVD, BOZEMAN, MT 59715-6000
(406) 587-7200
(406) 587-4621
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1256
MT
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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