Hicks, Charles Michael
Hicks, Charles Michael is an individual health care provider with primary practice located at 959 Lincoln Hwy , Fairview Heights IL 62208-2234. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Dentist is his primary health care specialty. Hicks, Charles Michael can be contacted via phone (618) 624-2500.Contact Information
Primary practice address
959 Lincoln Hwy
Fairview Heights IL 62208-2234
Phone: (618) 624-2500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | Illinois | |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | Illinois |
Profile Details
| NPI number | 1992809214 |
|---|---|
| LBN Legal business name | Hicks, Charles Michael |
| Credentials | DDS MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2006 |
| Last updated | Sep 11th, 2025 - about last year |
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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