Bruce F Hicke, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22076 Issued in CA

Practice address

5182 Montclair Plaza LN
Montclair, CA 91763

Phone

(909) 626-3566

Fax

(909) 626-6112

NPI assigned

Mar 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• David H Gilbert DDS Ms Mba Inc

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Upland, CA
  • NPI 1861502072

  Oral and Maxillofacial Surgery

  NPD (past)
• Inland Empire Oral and Maxillofacial Surgeons

  • Oral and Maxillofacial Surgery (Dentist)
  • Rancho Cucamonga, CA
  • NPI 1245497932
  NPD (past)
• Montclair Plaza Dental Group

  • General Practice Dentistry
  • Montclair, CA
  • NPI 1134332703

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982736815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 W 23RD ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917841345",
            "telephone_number": "909-981-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5182 MONTCLAIR PLAZA LN",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "91763",
            "telephone_number": "909-626-3566",
            "fax_number": "909-626-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKE",
        "first_name": "BRUCE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "22076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Hernandez
• Xianna Trinity Hernandez
• Gabriela Herrera
• Leslie Herrera, SLPA
• Yareli Herrera I
• Chloe M Hida
• Leslie Susana Hidalgo
• Ahmed Adel Hidar
• High Standard Hospice
• Denine Renae Hildreth

• Oral and Maxillofacial Surgery (Dentist) in Montclair, CA
• Providers in Montclair, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.