| Justin A. Hicks, D.m.d., Pc | |
|
1301 12th Ave S Lower Level Great Falls MT 59405-4600 | |
| (406) 216-5273 | |
| (406) 216-5274 |
| Full Name | Justin A. Hicks, D.m.d., Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1301 12th Ave S, Great Falls, Montana |
| Authorized Official Name and Position | Justin Aaron Hicks (PRESIDENT) |
| Authorized Official Contact | 4062165273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Justin A. Hicks, D.m.d., Pc 1301 12th Ave S P.o. Box 6408 Great Falls MT 59405-4600 Ph: (406) 216-5273 | Justin A. Hicks, D.m.d., Pc 1301 12th Ave S Lower Level Great Falls MT 59405-4600 Ph: (406) 216-5273 |
| NPI Number | 1154656361 |
|---|---|
| Provider Enumeration Date | 10/05/2009 |
| Last Update Date | 10/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154656361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2293 (Montana) | Primary |
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