Justin a. Hicks, D.M.D., PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2293 Issued in MT

Legal business name

JUSTIN A. HICKS, D.M.D., PC

Practice address

1301 12TH Ave S
Lower Level
Great Falls, MT 59405-4600

Phone

(406) 216-5273

Fax

(406) 216-5274

NPI assigned

Oct 5, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Justin Aaron Hicks, D.M.D.

Title

President

Phone

(406) 216-5273

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1154656361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 12TH AVE S",
            "address_2": "P.O. BOX 6408",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054600",
            "telephone_number": "406-216-5273",
            "fax_number": "406-216-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 12TH AVE S",
            "address_2": "LOWER LEVEL",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054600",
            "telephone_number": "406-216-5273",
            "fax_number": "406-216-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN A. HICKS, D.M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-216-5273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Great Falls, MT
• Providers in Great Falls, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.