Christopher J Hickerson, D.D.S.

NPI #1417929035 in Derby, Kansas

Provider Information

NPI Number: 1417929035
Entity Type: Individual
Name: Christopher J Hickerson, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Feb 7, 2006
Last Updated: Jan 6, 2022

Practice Location

Address: 1861 E MADISON AVE STE 400
City: Derby
State: Kansas
ZIP Code: 67037-2166
Phone: (316) 789-6200

Specialties & Taxonomy Codes

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

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