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.
| Name: | Mary Hickerson |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 307 Boatner Rd Ste 114, Eglin Afb,
Florida, 32542-1302 |
| Phone: | 850-803-3801 |
Professional Identification Codes:
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 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.