Harold E. Hickam, Dds, PC

NPI #1336401546 in Perry, Georgia

Provider Information

NPI Number
1336401546
Entity Type
Organization
Organization Name
Harold E. Hickam, Dds, PC
Subpart
Yes (part of a larger organization)
Parent Organization
HAROLD E. HICKAM, DDS, PC
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Jun 13, 2012
Last Updated
Jun 13, 2012

Practice Location

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

Authorized Official

Name
DR. HAROLD EUGENE HICKAM, DDS
Title
PRESIDENT/OWNER
Phone
(478) 987-6522

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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