Hicks, Charles Michael

Hicks, Charles Michael is an individual health care provider with primary practice located at 959 Lincoln Hwy , Fairview Heights IL 62208-2234. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Dentist is his primary health care specialty. Hicks, Charles Michael can be contacted via phone (618) 624-2500.

Contact Information

Primary practice address
959 Lincoln Hwy Fairview Heights IL 62208-2234
Phone: (618) 624-2500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Illinois
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X Illinois

Profile Details

NPI number 1992809214
LBN Legal business name Hicks, Charles Michael
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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