DR. John R Licking, DDS is a general practice dentist in Sunnyvale, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. John R Licking, DDS NPI is 1376524140. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1565 HOLLENBECK AVE
SUITE 118
SUNNYVALE, CA
ZIP 94087-922
Phone: (408) 736-6255
Fax: (408) 736-6100
The NPI 1376524140 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 11/9/2005 and was last updated on 7/8/2007.