Hicks, John L

Hicks, John L is an individual health care provider with primary practice located at 1702 University Dr S , Fargo ND 58103-4940. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Hicks, John L can be contacted via phone (701) 364-3300.

Contact Information

Primary practice address
1702 University Dr S Fargo ND 58103-4940
Phone: (701) 364-3300
Fax: (701) 364-8906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 1496 North Dakota

Profile Details

NPI number 1740215573
LBN Legal business name Hicks, John L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Aug 17th, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740215573 NPPES
North Dakota Other ND200021 LHS #
North Dakota MEDICAID 40625 LHS #
North Dakota Other DA9011026971 LHS #
North Dakota Other 6016 LHS #
North Dakota MEDICAID 17823 LHS #
North Dakota Other 4300108 LHS #
North Dakota Other 676707 LHS #
North Dakota Other 6864 LHS #
North Dakota Other 8600254 LHS #
North Dakota Other HP38190 LHS #
North Dakota MEDICAID 271817100 LHS #
North Dakota Other 61203HI LHS #

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