George Earl Hydrick, D.D.S.;P.A.

Primary specialty

DentistTaxonomy code 122300000X

License

3428 Issued in AL

Practice address

600 University Blvd E
Suite B-3
Tuscaloosa, AL 35401-2067

Phone

(205) 750-8008

Fax

(205) 750-8152

NPI assigned

Aug 4, 2006

Last updated

Jul 8, 2007By 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 2

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• G. Earl Hydrick, D.D.S.; P.a.

  • Dental Clinic/Center
  • Tuscaloosa, AL
  • NPI 1770756496
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861400947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 HAWTHORNE CIR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061690",
            "telephone_number": "205-750-8008",
            "fax_number": "205-750-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 UNIVERSITY BLVD E",
            "address_2": "SUITE B-3",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012067",
            "telephone_number": "205-750-8008",
            "fax_number": "205-750-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDRICK",
        "first_name": "GEORGE",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.;P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "3428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "510-93555",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI",
            "identifier": "604459",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kierra Lanae Hutchins, NCC, ALC
• Emily Shea-Grelle Hutchinson, CRNP
• Francheska M Hutton
• Ashley Hwang, DPT
• Krysta Dawn Hyche, DPT
• John Dow Hyer, PHARM.D.
• Catherine Ikard, M.D.
• Melinda Ikard, CRNP
• Stephen Thomas Ikard, M.D.
• Stephen Thomas Ikard Jr., MD

• Dentist in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.