Hicks, Denise Gayle
Hicks, Denise Gayle is an individual health care provider with primary practice located at 905 Sw Rimrock Way Ste 201 , Redmond OR 97756-2569. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Hicks, Denise Gayle can be contacted via phone (541) 526-5661.Contact Information
Primary practice address
905 Sw Rimrock Way Ste 201
Redmond OR 97756-2569
Phone: (541) 526-5661
Fax: (541) 526-1441
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | D9599 | Oregon |
Profile Details
NPI number | 1861780355 |
---|---|
LBN Legal business name | Hicks, Denise Gayle |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 18th, 2011 |
Last updated | Dec 18th, 2019 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861780355 | NPPES |
Oregon | MEDICAID | 500641734 |
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