HAROLD EUGENE HICKAM (NPI# 1033209150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033209150 |
| Entity Type | Individual |
| Full Name | HAROLD EUGENE HICKAM |
| Other Name | HAROLD EUGENE HICKAM |
| Credential | DDS CERT OF ORTHODON |
| Practice Address |
753 Carroll Street Perry GA 31069-3368 |
| Practice Telephone | 4789876522 |
| Practice Fax Number | 7702345477 |
| Mailing Telephone | 4789876522 |
| Mailing Fax Number | 7702345477 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2009-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 015639 | MO | Dental Providers |
| Y | 122300000X | Dentist | 8192 | GA | Dental Providers |
| Street Address |
753 CARROLL STREET |
| City | PERRY |
| State | GA |
| Zip Code | 31069-3368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114924 | Rebecca Lyn Parker | Pharmacist | 302 Walton Chase, Perry, GA 31069 | 2018-11-27 |
| 1437637568 | Joshua Thomas Guley | Dentist | 2161 Houston Lake Road Hwy 127, Perry, GA 31069 | 2018-07-31 |
| 1043755531 | Otha Everett | Counselor | 733-b Carroll Street, Perry, GA 31069 | 2016-12-20 |
| 1699226001 | Middle Georgia Primary Care | Nurse Practitioner | 1115 Morningside Drive, Perry, GA 31069 | 2016-10-20 |
| 1639535628 | Holly Lavender | Nurse Practitioner | 1016 Keith Dr, Perry, GA 31069 | 2016-01-07 |
| 1598049918 | Spencer D Shugart | Physical Therapist | 1202 Macon Rd, Perry, GA 31069 | 2011-10-04 |
| 1154638518 | Middle Georgia Anesthesiology, LLC | Nurse Anesthetist, Certified Registered | 1040 Morningside Drive, Perry, GA 31069 | 2010-09-07 |
| 1922203686 | Sarah Pearson Velasquez | Nurse Practitioner | 1024 Keith Drive, Perry, GA 31069 | 2007-06-20 |
| 1417008004 | Bruce Duwayne Sampson | Internal Medicine | 1019 Keith Drive, Suite A, Perry, GA 31069 | 2007-01-12 |
| 1104839125 | Harold Brian Gillis | Chiropractor | 1207 Main Street Suite C, Perry, GA 31069 | 2006-08-14 |
| Find all providers in zip 31069 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437637568 | Joshua Thomas Guley | Dentist | 2161 Houston Lake Road Hwy 127, Perry, GA 31069 | 2018-07-31 |
| 1417337122 | Ryker Wells | Dentist | 2535 S Highway 89, Perry, UT 84302-6729 | 2015-06-08 |
| 1891931259 | Tony Monroe Deloach | Dentist | 1113 Morningside Dr, Perry, GA 31069-2905 | 2009-01-06 |
| 1528277332 | Edward F. Harris | Dentist | Pleasant Point Health Center, 11 Back Road, Perry, ME 04667 | 2007-05-21 |
| 1205961638 | Ralph Edward Field | Dentist | 114 North Center Street, Perry, NY 14530 | 2007-02-23 |
| 1942347935 | Michael L Kinsley | Dentist | 1306 Macon Rd, Perry, GA 31069-2652 | 2007-01-31 |
| 1235289141 | Harry William Hatch | Dentist | 8501 Hampton Springs Rd, Perry, FL 32348-8747 | 2007-01-11 |
| 1821178070 | Ernest Hubbert Blake, Jr | Dentist | 409 E Ash St, Perry, FL 32347-2104 | 2006-10-16 |
| 1518069533 | Eugene Leroy Mcclintock | Dentist | 1212 Willis Ave, Perry, IA 50220-0399 | 2006-09-01 |
| 1275549032 | Perry Dental Group | Dentist | 1606 W Fir St, Perry, OK 73077-5800 | 2006-08-01 |
| Find all providers in PERRY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.