DR. Shannon Kathleen Hicks, DMD

NPI #1366691917 in Palatka, Florida

Provider Information

NPI Number
1366691917
Entity Type
Individual
Name
DR. Shannon Kathleen Hicks, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Sep 18, 2008
Last Updated
Sep 18, 2008

Practice Location

Address
800 ZEAGLER DR
Address 2
SUITE 330
State
Florida
ZIP Code
32177-3883
Phone
(386) 325-6000

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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