Derek James Fickes, DMD
Dentist in Louisville, OH. Individual provider (NPI-1).
NPI number1497445936
StatusActive
Last updated in NPPESJul 23, 2023
Details
- NPI
- 1497445936
- Entity type
- Individual (NPI-1)
- Name
- Derek James Fickes
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 9, 2023
- Certification date
- Jul 23, 2023
- Last updated
- Jul 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 30.027190 | OH | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
309 S Chapel StLouisville, OH 44641-1612
Phone 330-875-2200
Mailing address
12575 Columbiana Canfield RdColumbiana, OH 44408-9778
Phone 330-501-4217
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