Organization
HICKS & HICKS PA
Active
Other names
Hicks Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON K HICKS (SEC TREAS)
(386) 325-6000
Entity
Organization
Contact information
Practice address
800 ZEAGLER DRIVE, SUITE 330, PALATKA, FL 32177
(386) 325-6000
(386) 325-9306
Mailing address
800 ZEAGLER DRIVE, SUITE 330, PALATKA, FL 32177
(386) 325-6000
(386) 325-9306
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN0013368
FL
1223G0001X
General Practice Dentistry
Primary
DN0013541
FL
Other
Enumeration date
09/13/2006
Last updated
08/22/2020
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