JOHN L HICKS DDS NPI 1740215573

NPI Information

NPI: 1740215573
Provider Name: JOHN L HICKS, DDS
Classification: Dentist - 1223P0106X
Entity Type: Individual

Specialization: Oral and Maxillofacial Pathology

Address:
1702 UNIVERSITY DR S
FARGO, ND
ZIP 58103
Phone: (701) 364-3300
Get Directions

John L Hicks, DDS is an oral and maxillofacial pathology dentist in Fargo, ND. The provider is the specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. John L Hicks, DDS NPI is 1740215573. 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:

1702 UNIVERSITY DR S
FARGO, ND
ZIP 58103-940
Phone: (701) 364-3300
Fax: (701) 364-8906

The enumeration date for this NPI number is 7/11/2006 and was last updated on 8/17/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0106X	Dentist	Oral and Maxillofacial Pathology	1496	NORTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6864	OTHER	NORTH DAKOTA	SIOUX VALLEY #
2	HP38190	OTHER	NORTH DAKOTA	HEALTHPARTNERS #
3	DA9011026971	OTHER	NORTH DAKOTA	PREFERRED ONE #
4	17823	MEDICAID	NORTH DAKOTA
5	8600254	OTHER	NORTH DAKOTA	MEDICA #
6	4300108	OTHER	NORTH DAKOTA	MEDICA #
7	271817100	MEDICAID	NORTH DAKOTA
8	ND200021	OTHER	NORTH DAKOTA	LHS #
9	190005503	MEDICARE ID-TYPE UNSPECIFIED	NORTH DAKOTA	RR MEDICARE#
10	6016	MEDICARE ID-TYPE UNSPECIFIED	NORTH DAKOTA	ND MEDICARE #
11	40625	MEDICAID	NORTH DAKOTA
12	61203HI	OTHER	NORTH DAKOTA	MNBS #
13	676707	OTHER	NORTH DAKOTA	AMERICA'S PPO/ARAZ #
14	6016	OTHER	NORTH DAKOTA	NDBS #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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