Harold Eugene Hickam, DDS CERT OF ORTHODON

NPI #1033209150 in Perry, Georgia

Provider Information

NPI Number: 1033209150
Entity Type: Individual
Name: Harold Eugene Hickam, DDS CERT OF ORTHODON
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS CERT OF ORTHODON
Enumeration Date: Oct 13, 2006
Last Updated: May 29, 2009

Practice Location

Address: 753 CARROLL STREET
City: Perry
State: Georgia
ZIP Code: 31069-3368
Phone: (478) 987-6522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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