National Provider Identifier
Frederick Dewitt Hicks, DMD
Frederick Dewitt Hicks, DMD is listed in the NPPES registry with a primary specialty of Dentist in Newark, NY and a listed phone number of (315) 331-4530.
Profile Overview
- NPI
- 1609851161
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- December 07, 2005
- Last Updated
- July 08, 2007
Practice Location
- 114 High St
- Newark, NY 14513-8806
Phone: (315) 331-4530
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1609851161
- Entity Type
- Individual
- Last Name
- Hicks
- First Name
- Frederick
- Middle Name
- Dewitt
- Name Prefix
- Dr.
- Credential
- DMD
- Mailing Street Address
- 114 High St
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513-8806
- Mailing Country
- US
- Mailing Phone
- (315) 331-4530
- Mailing Fax
- (315) 331-8305
- Practice Street Address
- 114 High St
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-8806
- Practice Country
- US
- Practice Phone
- (315) 331-4530
- Practice Fax
- (315) 331-8305
- Enumeration Date
- December 07, 2005
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)
- Other Identifiers
- 00452066 (NY)