Frederick Dewitt Hicks, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

0284581 Issued in NY

Practice address

114 High St
Newark, NY 14513-8806

Phone

(315) 331-4530

Fax

(315) 331-8305

NPI assigned

Dec 7, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1609851161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 HIGH ST",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145138806",
            "telephone_number": "315-331-4530",
            "fax_number": "315-331-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 HIGH ST",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145138806",
            "telephone_number": "315-331-4530",
            "fax_number": "315-331-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "FREDERICK",
        "middle_name": "DEWITT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0284581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00452066",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Marie Hennessy, SLP
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• Julia Kennedy Hess
• Sierra Hewitt, PT, DPT
• Brianna Hill, DPT
• Jonathan Joseph Hochreiter, DDS
• Kathryn Hoffman
• Donna Marie Holder, R.N.
• Barbara L Holderbaum-Dober, PA

• Dentist in Newark, NY
• Providers in Newark, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.