Individual
MATTHEW PARKER HICKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
39 CROSS ST STE 307, PEABODY, MA 01960-1689
(978) 717-5819
Mailing address
73 HANCOCK ST APT 2, BOSTON, MA 02114-4107
(518) 796-2942
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
22DI02528600
NJ
1223P0300X
Periodontics
Primary
DN1856937
MA
Other
Enumeration date
10/02/2014
Last updated
03/14/2023
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