Hickok, Travis Alan

Hickok, Travis Alan is an individual health care provider with primary practice located at 50 N Medical Dr , Slc UT 84132-0001. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Hickok, Travis Alan can be contacted via phone (801) 581-2220.

Contact Information

Primary practice address
50 N Medical Dr Slc UT 84132-0001
Phone: (801) 581-2220
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 7028948 Utah

Profile Details

NPI number 1376797944
LBN Legal business name Hickok, Travis Alan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2008
Last updated Nov 10th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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