| Harold E. Hickam, DDS, PC | |
|
753 Carroll St Perry GA 31069-3368 | |
| (478) 987-6522 | |
| (770) 234-5477 |
| Full Name | Harold E. Hickam, DDS, PC |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 753 Carroll St, Perry, Georgia |
| Authorized Official Name and Position | Harold Eugene Hickam (PRESIDENT/OWNER) |
| Authorized Official Contact | 4789876522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harold E. Hickam, DDS, PC 753 Carroll St Perry GA 31069-3368 Ph: (478) 987-6522 | Harold E. Hickam, DDS, PC 753 Carroll St Perry GA 31069-3368 Ph: (478) 987-6522 |
| NPI Number | 1336401546 |
|---|---|
| Provider Enumeration Date | 06/13/2012 |
| Last Update Date | 06/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336401546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN008192 (Georgia) | Primary |
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