John R. Licking, DDS

General Practice Dentistry · Los Altos, CA

Individual Active NPI

NPI number 1376524140

Practice location

730 Altos Oaks Dr
Los Altos, CA 94024-5401
Phone
(408) 736-6255
Fax
(408) 736-6100

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NPI record

NPI
1376524140
Entity type
Individual (Type 1)
Enumeration date
November 9, 2005
Last updated
September 10, 2024
Certified
September 10, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 21321 CA

About Dr. Licking

John R. Licking, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 730 Altos Oaks Dr, Los Altos, CA 94024-5401. The NPI number 1376524140 was assigned on November 9, 2005 and the record was last updated on September 10, 2024.

Dr. Licking lists a license in the registry: #21321 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John R. Licking, DDS?

The NPI number is 1376524140.

What is the phone number of Dr. Licking?

The phone number listed for the practice location is (408) 736-6255.

Where is Dr. Licking located?

730 Altos Oaks Dr, Los Altos, CA 94024-5401.

What is the taxonomy code for Dr. Licking?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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