Mary Hickerson is a Eglin Afb, Florida based Dentist who is specialized in Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mary Hickerson is 19470 for General Practice Dentistry in Montana. Her current practice location is 307 Boatner Rd Ste 114, Eglin Afb. Patients can reach her at 850-803-3801.
Mary Hickerson is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Mary Hickerson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1487262697
NPI Enumeration Date:
14 Jul, 2020
NPI Last Update On:
30 Apr, 2025
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Hickerson are as mentioned below.
License Number
Specialization
State
Status
19470
General Practice Dentistry
Montana
Primary
DN28849
Dentistry
Florida
Secondary
19470
Dentistry
Montana
Secondary
36313
General Practice Dentistry
Texas
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary Hickerson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
UNAVAILABLE
Other
UNAVAILABLE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
307 Boatner Rd Ste 114, Eglin Afb, Florida
Zip:
32542-1302
Patients can reach Mary Hickerson at 307 Boatner Rd Ste 114, Eglin Afb, Florida or can call to book an appointment on 850-803-3801. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.