NPI 1477657526

Eric V Hicks, DMDPC

Practitioner Dentist Ebensburg, PA

Practice location

Address: 106 Park Street, Ebensburg, PA 15931-1854
Phone: (814) 472-5270
Fax: (814) 372-4618

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DS019589L (PA)

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Registry record

NPI: 1477657526
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.