Randall R. Hickerson, D.D.S.

General Practice Dentistry · Texarkana, AR

Individual Active NPI

NPI number 1538189246

Practice location

1015 E 35TH St
Texarkana, AR 71854-2745
Phone
(870) 773-3119
Fax
(870) 772-7347

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NPI record

NPI
1538189246
Entity type
Individual (Type 1)
Enumeration date
July 19, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2156 AR

About Dr. Hickerson

Randall R. 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 1015 E 35TH St, Texarkana, AR 71854-2745. The NPI number 1538189246 was assigned on July 19, 2006 and the record was last updated on July 8, 2007.

Dr. Hickerson lists a license in the registry: #2156 (AR) 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 Randall R. Hickerson, D.D.S.?

The NPI number is 1538189246.

What is the phone number of Dr. Hickerson?

The phone number listed for the practice location is (870) 773-3119.

Where is Dr. Hickerson located?

1015 E 35TH St, Texarkana, AR 71854-2745.

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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