Dr. Alan Joseph Hickey, DMD
Dentist, Prosthodontics in Portland, ME. Individual provider (NPI-1).
NPI number1720128705
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720128705
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alan Joseph Hickey
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 7, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0700X | Dentist, Prosthodontics | 2624 | ME | Yes |
Practice location
276 Canco RdPortland, ME 04103-4351
Phone 207-773-6177 · Fax 207-773-6552
Mailing address
276 Canco RdPortland, ME 04103-4351
Phone 207-773-6711 · Fax 207-773-6552
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All 13 Prosthodontics providers in Portland · All 7,184 providers in Portland
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