| Hicks Dental Group, Ltd. | |
|
108 Whipple St Prescott AZ 86301-1706 | |
| (928) 445-6030 | |
| (928) 445-6030 |
| Full Name | Hicks Dental Group, Ltd. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 108 Whipple St, Prescott, Arizona |
| Authorized Official Name and Position | Darcy S Hicks (OFFICE MANAGER) |
| Authorized Official Contact | 9284456030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hicks Dental Group, Ltd. 108 Whipple St Prescott AZ 86301-1706 Ph: (928) 445-6030 | Hicks Dental Group, Ltd. 108 Whipple St Prescott AZ 86301-1706 Ph: (928) 445-6030 |
| NPI Number | 1093596348 |
|---|---|
| Provider Enumeration Date | 10/12/2023 |
| Last Update Date | 10/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093596348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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