Hicks Dental Clinics LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HICKS DENTAL CLINICS LLC

Practice address

905 SW Rimrock Way Ste 201
Redmond, OR 97756-2569

Phone

(541) 526-5661

NPI assigned

Dec 13, 2019

Organization subpart

No

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

Authorized official

Name

Denise Gayle Hicks, DDSNPI 1861780355

Title

President/Dentist

Phone

(865) 335-4571

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Denise Gayle Hicks, DDS

  • General Practice Dentistry
  • Redmond, OR
  • NPI 1861780355
  NPD Authorized official

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576195200000",
    "number": "1932747581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66855 FRYREAR RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977039193",
            "telephone_number": "865-335-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SW RIMROCK WAY STE 201",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562569",
            "telephone_number": "541-526-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKS DENTAL CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "865-335-4571",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Starr L Hernandez
• Davina Herrera, LMT
• Collin Hester
• Doris J Hethcote, NP
• Jami Elizabeth Heyting, ND
• Denise Gayle Hicks, DDS
• Max W Higbee, D.M.D.
• High Desert Eyecare
• High Desert Spine
• High Desert Women'S Care

• Dental Clinic/Center in Redmond, OR
• Providers in Redmond, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.