Jerry Richard Hickman in Indianapolis - Orthodontics And Dentofacial Orthopedics
Jerry Richard Hickman - NPI 1780879981
Jerry Richard Hickman is a Orthodontics And Dentofacial Orthopedics in Indianapolis, Indiana. Jerry Richard Hickman practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Jerry Richard Hickman is 1780879981. The last update date is 2007-09-11.
Jerry Richard Hickman's current location address is 8001 Shelby St, Indianapolis, Indiana. You can contact this provider via phone number 3178887807 and fax number 3178880083. The mailing address for Jerry Richard Hickman is 8001 Shelby St, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Richard Hickman |
|---|---|
| Address | 8001 Shelby St, Indianapolis, Indiana |
| Phone Number | 3178887807 |
| Fax Number | 3178880083 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1780879981 |
|---|---|
| Provider Enumeration Date | 2007-09-11 |
| Last Updated Date | 2007-09-11 |
Provider Mailing Address Detail
| Address | 8001 Shelby St |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462275970 |
| Phone Number | 3178887807 |
| Fax Number | 3178880083 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 12006199A |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Post Comment/ Review Below
What is the unique identifier code issued to Jerry Richard Hickman by the Centers for Medicare & Medicaid Services?
The Jerry Richard Hickman has been assigned the NPI (National Provider Identifier) 1780879981. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jerry Richard Hickman?
The Jerry Richard Hickman is situated at 8001 Shelby St, in the city of Indianapolis, state of IN, with the zip code 462275970.
What is Jerry Richard Hickman's area of expertise and its corresponding taxonomy classification?
The Jerry Richard Hickman's field of specialization is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their areas of practice.
When was the Jerry Richard Hickman's 1780879981 issued?
The Jerry Richard Hickman's 1780879981 was issued on 2007-09-11.
When was the information pertaining to Jerry Richard Hickman most recently updated or revised?
The details related to Jerry Richard Hickman, including its address, specialty, and other relevant information, were last updated or revised on 2007-09-11.