Terry A Hickey Dds Ps | |
6919 Lakewood Dr W Ste D4 Tacoma WA 98467-3220 | |
(253) 475-8990 | |
(253) 475-5514 |
Full Name | Terry A Hickey Dds Ps |
---|---|
Speciality | Dentist |
Location | 6919 Lakewood Dr W Ste D4, Tacoma, Washington |
Authorized Official Name and Position | Terry Allen Hickey (OWNER) |
Authorized Official Contact | 2534758990 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Terry A Hickey Dds Ps 6919 Lakewood Dr W Ste D4 Tacoma WA 98467-3220 Ph: (253) 475-8990 | Terry A Hickey Dds Ps 6919 Lakewood Dr W Ste D4 Tacoma WA 98467-3220 Ph: (253) 475-8990 |
NPI Number | 1811013949 |
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Provider Enumeration Date | 03/21/2007 |
Last Update Date | 12/04/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811013949 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 5796 (Washington) | Primary |
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