DR. SHANNON KATHLEEN HICKS DMD NPI 1366691917

NPI Information

NPI: 1366691917
Provider Name: DR. SHANNON KATHLEEN HICKS, DMD
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
800 ZEAGLER DR
SUITE 330
PALATKA, FL
ZIP 32177
Phone: (386) 325-6000
Get Directions

DR. Shannon Kathleen Hicks, DMD is a general practice dentist in Palatka, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Shannon Kathleen Hicks, DMD NPI is 1366691917. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

800 ZEAGLER DR
SUITE 330
PALATKA, FL
ZIP 32177-883
Phone: (386) 325-6000
Fax: (386) 325-9306

The enumeration date for this NPI number is 9/18/2008 and was last updated on 9/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	DN13541	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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