Individual provider · Type 1 NPI

Jerry Richard Hickman, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Indianapolis, IN

NPI number 1780879981 Active

Practice location

8001 Shelby St, Suite 1
Indianapolis, IN 46227-5970

Call (317) 888-7807 Map

Fax (317) 888-0083

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X12006199A (IN)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1780879981

Jerry Richard Hickman, DDS's National Provider Identifier is 1780879981, issued on Sep 11, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 11, 2007.