Derek James Fickes, DMD

NPI #1497445936 in Louisville, Ohio

Provider Information

NPI Number: 1497445936
Entity Type: Individual
Name: Derek James Fickes, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: May 9, 2023
Last Updated: Jul 23, 2023

Practice Location

Address: 309 S CHAPEL ST
City: Louisville
State: Ohio
ZIP Code: 44641-1612
Phone: (330) 875-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	Primary

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