DR. DALLAS HALE HICKLE (NPI# 1033256227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033256227 |
| Entity Type | Individual |
| Full Name | DR. DALLAS HALE HICKLE |
| Credential | DDS |
| Practice Address |
1615 Hill Rd Ste. 12 Novato CA 94947-4340 |
| Practice Telephone | 4158921564 |
| Practice Fax Number | 4158921566 |
| Mailing Telephone | 4158921564 |
| Mailing Fax Number | 4158921566 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
29153 | CA | Dental Providers |
| Street Address |
1615 HILL RD STE. 12 |
| City | NOVATO |
| State | CA |
| Zip Code | 94947-4340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891771325 | Jeffrey Thomas Amen | Podiatrist | 1615 Hill Rd, Ste E, Novato, CA 94947-4338 | 2005-12-16 |
| 1063762276 | Randall H Chapman Md A Professional Corporation | Specialist | 1615 Hill Rd, Suite #8, Novato, CA 94947-4340 | 2012-09-14 |
| 1003171638 | Audiology Associates | Clinic/Center | 1615 Hill Rd, Suite 9, Novato, CA 94947-4340 | 2012-07-10 |
| 1124347224 | Deborah Christman Clark | Psychologist | 1615 Hill Rd, Suite 10, Novato, CA 94947-4340 | 2010-05-28 |
| 1922208834 | Melanie Johnson | Psychologist | 1615 Hill Rd, Suite 18, Novato, CA 94947-4340 | 2007-07-19 |
| 1558576108 | Redwood Sleep Center Inc. | Legal Medicine | 1615 Hill Rd, Suite 16, Novato, CA 94947-4340 | 2007-05-14 |
| 1407911886 | Nader Mehra Vafaie | Dentist | 1615 Hill Rd, Suite #19, Novato, CA 94947-4340 | 2006-12-26 |
| 1912065814 | Rebecca Lynn Kuga | Marriage & Family Therapist | 1615 Hill Rd, Suite G, Novato, CA 94947-4340 | 2006-12-04 |
| 1114093853 | Randall H Chapman | Ophthalmology | 1615 Hill Rd, Suite 8, Novato, CA 94947 | 2006-11-27 |
| 1497824122 | Leahn Janette Huffman | Dentist | 1615 Hill Rd, Ste 3, Novato, CA 94947 | 2006-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407135882 | Rainey Sealey Temkin | Psychologist | 1682 Novato Blvd Ste 105, Novato, CA 94947 | 2011-08-16 |
| 1801192786 | Barbara Jean Gosselin | Marriage & Family Therapist | 1748 Novato Blvd Suite 210, Novato, CA 94947 | 2011-02-10 |
| 1659681377 | Karen Ann Murphy | Occupational Therapist | 27 Stasia Dr., Novato, CA 94947 | 2010-10-15 |
| 1154659415 | Christopher Michael Hackett | Chiropractor | 1559 South Novato Blvd., Suite E, Novato, CA 94947 | 2009-11-25 |
| 1003068305 | Suttinee Saguandeekul | Pharmacist | 910 Diablo Ave, Novato, CA 94947 | 2008-10-17 |
| 1891983581 | Shital Gandhi | Radiology | 500 Redwood Blvd Ste 300, Novato, CA 94947 | 2007-10-09 |
| 1356544126 | Victoria Elizabeth Herzog | Marriage & Family Therapist | 1682 Novato Blvd, Suite 250a, Novato, CA 94947 | 2007-06-07 |
| 1912047655 | Michael Craig Corder | Chiropractor | 1553 S Novato Blvd, A2 Corder Chiropractic Office, Novato, CA 94947 | 2007-02-08 |
| 1427106905 | Jacob Kyle Leone | Naturopath | 1748 Novato Blvd, Suite 100, Novato, CA 94947 | 2007-01-08 |
| 1881756401 | Mental Health Management I, Inc. | Psychiatric Residential Treatment Facility | 655 Canyon Road, Novato, CA 94947 | 2006-12-14 |
| Find all providers in zip 94947 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902940125 | Luis Ramon Limchayseng | Dentist | 1701 Novato Blvd, Suite 108, Novato, CA 94947-3000 | 2007-02-19 |
| 1215128988 | Mahr Elder Dds Md P C | Dentist | 1805 Novato Blvd, Suite 1, Novato, CA 94947-2934 | 2007-08-07 |
| 1841301371 | Mahr F Elder | Dentist | 1805 Novato Blvd, Suite #1, Novato, CA 94947-2934 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
| 1609493170 | Amir Haghshenas Dds | Dentist | 3880 S Bascom Ave Ste 213, San Jose, CA 95124-2675 | 2020-07-01 |
| 1316568900 | Beech & Reid Dental Partnership | Dentist | 464 E Calaveras Blvd Ste B3, Milpitas, CA 95035-5412 | 2020-05-05 |
| 1518506773 | Francisco Suarez, Dds Inc. | Dentist | 4606 Hollywood Blvd Ste A, Los Angeles, CA 90027-5462 | 2020-01-04 |
| 1831748839 | Slate Dental Corporation | Dentist | 6512 Lonetree Blvd Ste 100, Rocklin, CA 95765-5883 | 2019-09-11 |
| 1255980140 | Dr Maloux Macasaet Saguin Dental Corporation | Dentist | 9800 Topanga Canyon Blvd Ste J, Chatsworth, CA 91311-4075 | 2019-09-04 |
| 1891342267 | Amrollahie and Riman Dental Partnership | Dentist | 1442 Irvine Blvd Ste 225, Tustin, CA 92780-3846 | 2019-08-21 |
| 1548821572 | Hoang Dental Corporation | Dentist | 1356 W Valley Pkwy Ste J, Escondido, CA 92029-2138 | 2019-06-20 |
| 1073173860 | Omfs Care Center Partners | Dentist | 215 N Fresno St Ste 490, Fresno, CA 93701-0000 | 2019-06-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. DALLAS HALE HICKLE.
| 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.