Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RUDOLPH HICKMAN, DDS
Active Sole ProprietorDental Public Health · OWINGS MILLS, MD
Registration Details
- NPI Number
- 1093971780
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2008 (17.722456767715 yrs)
- Last Updated
- Aug 1, 2008
- Licenses
-
05880 (MD)05880 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 ROSEWOOD LNOWINGS MILLS, MD, 211173709Browse MD providers · Browse ZIP 21117
- Phone
- 4109515083
- Fax
- 4109515082
- Primary Specialty
-
Dental Public Health
1223D0001X
- Additional Specialty
- Dental Public Health
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.