Dr. Lolita Hicks, DDS
Dentist in Rochester, MN. Individual provider (NPI-1).
NPI number1164036422
StatusActive
Last updated in NPPESSep 3, 2020
Details
- NPI
- 1164036422
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lolita Hicks
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 3, 2020
- Certification date
- Sep 3, 2020
- Last updated
- Sep 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D14484 | MN | Yes |
| 1223G0001X | Dentist, General Practice | D14484 | MN |
Practice location
1290 Salem Rd Sw Ste 10Rochester, MN 55902-4210
Phone 979-220-6972
Mailing address
2143 Old School RdMound, MN 55364-1674
Phone 979-220-6972
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