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Dr. Leland Hickman, DMD
General Practice Dentistry in Peoria, Illinois
NPI 1306984588

Leland Hickman is a General Practice Dentistry based in Bloomington, IL and is specialized in General Practice. Leland Hickman practices in Peoria, IL and has the professional credentials of DMD. The NPI Number for Leland Hickman is 1306984588 and holds a License No. (Illinois).

The current practice location address for Leland Hickman is 809 W Detweiller Dr, Peoria, IL and can be reached out via phone at 309-692-1320 and via fax at 309-692-1355. You can also correspond with Leland Hickman through the mailing address at 9159 DEER RIDGE DR, BLOOMINGTON, IL - 61704-7821 (mailing address contact number: ).

Location: 809 W Detweiller Dr, Peoria, IL, 61704-7821
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306984588
Provider Name
Leland Hickman
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
809 W Detweiller Dr, Peoria, IL, 61704-7821
Phone Number
309-692-1320
Fax Number
309-692-1355
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1002205 05 IL
institution
Provider Business Practice Location Address Details
Address
809 W Detweiller Dr
City
Peoria
State
Illinois
Zip
61615-2149
Phone Number
309-692-1320
Fax Number
309-692-1355
person
Provider Business Mailing Address Details
Address
809 W Detweiller Dr
City
Peoria
State
Illinois
Zip
61615-2149
Phone Number
309-692-1320
Fax Number
309-692-1355
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
(Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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