Bruce F Hicke in Upland - Oral And Maxillofacial Surgery
Bruce F Hicke - NPI 1982736815
Bruce F Hicke is a Oral And Maxillofacial Surgery in Upland, California. Bruce F Hicke practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Bruce F Hicke is 1982736815. The last update date is 2007-07-08.
Bruce F Hicke's current location address is 241 W 23rd St, Upland, California. You can contact this provider via phone number 9099812288. The mailing address for Bruce F Hicke is 241 W 23rd St, Upland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce F Hicke |
|---|---|
| Address | 241 W 23rd St, Upland, California |
| Phone Number | 9099812288 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1982736815 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 241 W 23rd St |
|---|---|
| City | Upland |
| State | California (CA) |
| Post Code | 917841345 |
| Phone Number | 9099812288 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 22076 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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What is the unique 10-digit identifier code issued to Bruce F Hicke by the Centers for Medicare & Medicaid Services?
The Bruce F Hicke has been assigned the NPI (National Provider Identifier) 1982736815 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Bruce F Hicke's facilities are geographically located?
The facilities of Bruce F Hicke are physically situated at the following location: 241 W 23Rd St, Upland, CA, 917841345.
What is Bruce F Hicke's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bruce F Hicke's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1982736815 to Bruce F Hicke?
The Centers for Medicare & Medicaid Services originally issued the 1982736815 to Bruce F Hicke on 2007-03-09.
As of what date were the details related to Bruce F Hicke most recently updated or revised?
The information pertaining to Bruce F Hicke, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY