Keith Hickman
Dentist in Parkersburg, WV. Individual provider (NPI-1).
NPI number1790246734
StatusActive
Last updated in NPPESAug 15, 2023
Details
- NPI
- 1790246734
- Entity type
- Individual (NPI-1)
- Name
- Keith Hickman
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 30, 2019
- Certification date
- Aug 15, 2023
- Last updated
- Aug 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 4477 | WV | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
3705 Emerson AveParkersburg, WV 26104-1118
Phone 304-485-7717
Mailing address
474 Valley Manor LnWilliamstown, WV 26187-8249
Phone 304-224-4301
Other practice locations
30 Acme St
Marietta, OH 45750-3306
Marietta, OH 45750-3306
Phone 740-885-3166
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All 19 Dentist providers in Parkersburg · All 3,407 providers in Parkersburg
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