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HICKORY HILLS DENTAL CARE LLC NPI 1205301777


NPI Information

NPI: 1205301777
Provider Name: HICKORY HILLS DENTAL CARE LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1947 FLORENCE BLVD
FLORENCE, AL
ZIP 35630
Phone: (256) 766-8800
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HICKORY HILLS DENTAL CARE LLC is a dental clinic center in Florence, AL. HICKORY HILLS DENTAL CARE LLC NPI is 1205301777. The provider is registered as an organization entity type.

The provider's business location address is:

1947 FLORENCE BLVD
FLORENCE, AL
ZIP 35630-729
Phone: (256) 766-8800
Fax: (256) 766-8936

The provider's authorized official is Ian Kyle Fawcett .
The authorized official title is Owner and has the following contact phone number (256) 766-8800.

The enumeration date for this NPI number is 10/10/2018 and was last updated on 10/10/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDentalYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1207491MEDICAIDALABAMA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.