Harold E. Hickam, DDS, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN008192 Issued in GA

Legal business name

HAROLD E. HICKAM, DDS, PC

Practice address

753 Carroll St
Perry, GA 31069-3368

Phone

(478) 987-6522

Fax

(770) 234-5477

NPI assigned

Jun 13, 2012

Organization subpart

Yes

Parent organization

HAROLD E. HICKAM, DDS, PCAs reported in NPPES

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

Authorized official

Name

Dr. Harold Eugene Hickam, DDSNPI 1033209150

Title

President/Owner

Phone

(478) 987-6522

Specialties & licenses 1

Addresses

Part of

Harold E Hickam DDS PC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harold Eugene Hickam, DDS CERT OF ORTHODON

  • Dentist
  • Perry, GA
  • NPI 1033209150
  NPD (past) Authorized official

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1336401546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 CARROLL ST",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310693368",
            "telephone_number": "478-987-6522",
            "fax_number": "770-234-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 CARROLL ST",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310693368",
            "telephone_number": "478-987-6522",
            "fax_number": "770-234-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD E. HICKAM, DDS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAROLD E. HICKAM, DDS, PC",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "HICKAM",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "478-987-6522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN008192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Hope Ham, NP
• Terry E. Ham, MD
• Cayley Hamborg, OTR/L
• Hands of Hope Non-Medical Care Service, LLC
• Danetta Hardy, OT
• Gregory S Harold, MD
• Kylie Alex Harrell, SLP
• Natalie Koontz Harris, DPT
• Sarah Coxwell Harris, FNP-C
• Shagavya Harris

• Orthodontics and Dentofacial Orthopedics Dentistry in Perry, GA
• Providers in Perry, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.