Individual provider · Type 1 NPI

Craig Hicks

Orthodontics and Dentofacial Orthopedics Dentistry · Dallas, TX

NPI number 1790842136 Active

Practice location

5400 E Mockingbird Ln, Suite 219
Dallas, TX 75206-8904

Mailing address

650 International Pkwy, Suite 100
Richardson, TX 75081-6612

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X16426 (TX)

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 1790842136

Craig Hicks's National Provider Identifier is 1790842136, issued on Jan 3, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Dallas, TX. The record was last updated on Jul 8, 2007.