Christopher J. Hickerson, D.D.S.

General Practice Dentistry · Derby, KS

Individual Active NPI

NPI number 1417929035

Practice location

1861 E Madison Ave Ste 400
Derby, KS 67037-2166
Phone
(316) 789-6200
Fax
(316) 361-2635

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NPI record

NPI
1417929035
Entity type
Individual (Type 1)
Enumeration date
February 7, 2006
Last updated
January 6, 2022
Certified
January 6, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 60354 KS

Mailing address

1356 Lookout Cir
Derby, KS 67037-9246
Phone
(316) 640-8761

Other practice locations (1)

  • 1120 N Rock Rd, suite 100, Derby, KS 67037-3584 · (316) 789-9999

About Dr. Hickerson

Christopher J. Hickerson, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1861 E Madison Ave Ste 400, Derby, KS 67037-2166. The NPI number 1417929035 was assigned on February 7, 2006 and the record was last updated on January 6, 2022.

Dr. Hickerson lists a license in the registry: #60354 (KS) 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 Christopher J. Hickerson, D.D.S.?

The NPI number is 1417929035.

What is the phone number of Dr. Hickerson?

The phone number listed for the practice location is (316) 789-6200.

Where is Dr. Hickerson located?

1861 E Madison Ave Ste 400, Derby, KS 67037-2166.

What is the taxonomy code for Dr. Hickerson?

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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