Hicks Dental Clinics LLC

NPI #1932747581 in Redmond, Oregon

Provider Information

NPI Number: 1932747581
Entity Type: Organization
Organization Name: Hicks Dental Clinics LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Dec 13, 2019
Last Updated: Dec 13, 2019

Practice Location

Address: 905 SW RIMROCK WAY STE 201
City: Redmond
State: Oregon
ZIP Code: 97756-2569
Phone: (541) 526-5661

Authorized Official

Name: DENISE GAYLE HICKS, DDS
Title: PRESIDENT/DENTIST
Phone: (865) 335-4571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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