Hickory Dentistry LLC
NPI #1275131948 in Hickory Hills, Illinois
Provider Information
- NPI Number
- 1275131948
- Entity Type
- Organization
- Organization Name
- Hickory Dentistry LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 14, 2020
- Last Updated
- Jul 25, 2025
Practice Location
- Address
- 9556 S ROBERTS RD
- City
- Hickory Hills
- State
- Illinois
- ZIP Code
- 60457-2239
- Phone
- (708) 608-0095
Authorized Official
- Name
- PRASANTH DOMMARAJU
- Title
- OWNER
- Phone
- (630) 247-7216
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
| Dentist - General Practice — General Practice |
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