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Mark Thomas Hickmott, DDS
General Practice Dentistry in San Ramon, California
NPI 1518027580

Mark Thomas Hickmott is a General Practice Dentistry based in San Ramon, CA and is specialized in General Practice. Mark Thomas Hickmott practices in San Ramon, CA and has the professional credentials of DDS. The NPI Number for Mark Thomas Hickmott is 1518027580 and holds a License No. 35730 (California).

The current practice location address for Mark Thomas Hickmott is 2410 San Ramon Valley Blvd, San Ramon, CA and can be reached out via phone at 925-855-1604 and via fax at 925-855-0743.

Location: 2410 San Ramon Valley Blvd, San Ramon, CA, 94583-1671
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518027580
Provider Name
Mark Thomas Hickmott
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2410 San Ramon Valley Blvd, San Ramon, CA, 94583-1671
Phone Number
925-855-1604
Fax Number
925-855-0743
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
680187966 01 CA TAX ID
14367 01 UT UNITED HEALTHCARE
766462 01 PA UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
2410 San Ramon Valley Blvd
City
San Ramon
State
California
Zip
94583-1671
Phone Number
925-855-1604
Fax Number
925-855-0743
person
Provider Business Mailing Address Details
Address
2410 San Ramon Valley Blvd
City
San Ramon
State
California
Zip
94583-1671
Phone Number
925-855-1604
Fax Number
925-855-0743
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
35730 (California)
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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