Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. CECILIA JO HICKAM, RDH-EA, OMT
ActiveDental Hygienist · EAGLE, ID
Registration Details
- NPI Number
- 1376940668
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 2, 2014 (11.393719261932 yrs)
- Last Updated
- Dec 2, 2014
- License
-
DH-0356-EA (ID)
Practice Information
- Address
-
1121 E. STATE STREETSUITE - 102-DEAGLE, ID, 83616Browse ID providers · Browse ZIP 83616
- Phone
- 2085849060
- Primary Specialty
-
Dental Hygienist
124Q00000X
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.