Mary Hickerson, DDS

NPI #1487262697 in Eglin Afb, Florida

Provider Information

NPI Number: 1487262697
Entity Type: Individual
Name: Mary Hickerson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 14, 2020
Last Updated: Apr 30, 2025

Practice Location

Address: 307 BOATNER RD STE 114
City: Eglin Afb
State: Florida
ZIP Code: 32542-1302
Phone: (850) 803-3801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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