NPI 1619163045 · live from the CMS NPI Registry
Hickman Orthodontic
Dentist, Orthodontics and Dentofacial Orthopedics in Indianapolis, IN. National Provider Identifier 1619163045, active.
NPI record
| NPI | 1619163045 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 8001 Shelby St, Suite #1, Indianapolis, IN 46227 |
| Practice phone | 317-888-7807 |
| Enumerated | September 19, 2007 |
| Last updated | September 19, 2007 |
| Authorized official | Todd Hickman, Owner/President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.