Individual provider · Type 1 NPI

Leland Hickman, DMD

General Practice Dentistry · Peoria, IL

NPI number 1306984588 Active

Practice location

809 W Detweiller Dr, Suite 805A
Peoria, IL 61615-2149

Call (309) 692-1320 Map

Fax (309) 692-1355

Mailing address

9159 Deer Ridge Dr
Bloomington, IL 61704-7821

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1306984588

Leland Hickman, DMD's National Provider Identifier is 1306984588, issued on Feb 1, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Peoria, IL. The record was last updated on Jul 8, 2007.