DR. Leland Hickman, D.M.D.

NPI #1306984588 in Peoria, Illinois

Provider Information

NPI Number: 1306984588
Entity Type: Individual
Name: DR. Leland Hickman, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Feb 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 809 W DETWEILLER DR
Address 2: SUITE 805A
City: Peoria
State: Illinois
ZIP Code: 61615-2149
Phone: (309) 692-1320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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