Todd L. Hicks MD
Plastic and Reconstructive Surgery Physician in Dayton, OH(View on Map)
Full Name
Todd L Hicks MD
NPI Number
1326054073
NPI Type
Individual Provider
Gender
Male
Enumeration Date
08/01/2006
Specialties
(Taxonomies)Code
2086S0122X
208600000X
Primary Taxonomy
Yes
No
Licenses
State
Ohio
Ohio
License Number
35.085868
35-08-5868
Contact
Information
Purpose
Mailing
Location
Address
2300 MIAMI VALLEY DR
580 LINCOLN PARK BLVD
City
Centerville
Dayton
State
OH
OH
Postal Code
45459-1294
45429-3474
Country
US
US
Telephone Number
(937) 396-8001
(937) 396-8001
Identifiers
Identifier
2665174
Identifier State
OH
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/04/2019
Provider Address
Other Plastic and Reconstructive Surgery Physicians in Dayton, Ohio:
Michelle Sieffert MD, MBA
Dayton, OHSpecialty: Plastic and Reconstructive Surgery Physician (Primary)