Hicks, Jordan King Alexis

Hicks, Jordan King Alexis is an individual health care provider with primary practice located at 612 Brighton Ave , Portland ME 04102-2359. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Hicks, Jordan King Alexis can be contacted via phone (207) 772-4359.

Contact Information

Primary practice address
612 Brighton Ave Portland ME 04102-2359
Phone: (207) 772-4359
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DEN4543 Maine

Profile Details

NPI number 1932629953
LBN Legal business name Hicks, Jordan King Alexis
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2017
Last updated Mar 17th, 2018 - about 8 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.

Request for update

Popular Providers