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Search › Florida › 1223G0001X

Mary Hickerson, DDS

NPI 1487262697 · on the registry since 2020

Practice

Address
307 Boatner Rd Ste 114
Eglin Afb, FL 32542
Phone
(850) 803-3801
Organisation at this address
96th Medgrp-Eglin
Inferred from a shared address, not stated in the registry.
Clinicians at this address
503

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
122300000X
122300000X
1223G0001X
Licence states on file
FL, MT, TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida