Justin A. Hicks, D.m.d., PC

NPI #1154656361 in Great Falls, Montana

Provider Information

NPI Number
1154656361
Entity Type
Organization
Organization Name
Justin A. Hicks, D.m.d., PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 5, 2009
Last Updated
Oct 19, 2009

Practice Location

Address
1301 12TH AVE S
Address 2
LOWER LEVEL
State
Montana
ZIP Code
59405-4600
Phone
(406) 216-5273

Authorized Official

Name
DR. JUSTIN AARON HICKS, D.M.D.
Title
PRESIDENT
Phone
(406) 216-5273

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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