Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CLAYTON GRAY HICKS SR., DMD
ActiveDR. CLAYTON GRAY HICKS SR., DMD is a Pediatric Dentistry healthcare provider located in JBSA LACKLAND, Texas. NPI 1710972898 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · JBSA LACKLAND, TX
Registration Details
- NPI Number
- 1710972898
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 15, 2005 (20.933420081111 yrs)
- Last Updated
- Dec 28, 2020
- Licenses
-
3693 (SC)3693 (SC)
Practice Information
- Address
-
1100 WILFORD HALL LOOP BLDG 4554JBSA LACKLAND, TX, 782365638Browse TX providers · Browse ZIP 78236
- Phone
- 2102920748
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in JBSA LACKLAND, TX
| Name | Credential | NPI |
|---|---|---|
| STEPHEN RICHARD GASPAROVICH | DDS | 1699737825 |
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.