IndividualActive
Alexander Hicks, DMD
NPI 1558055103 · Dentist · Boise, ID
Provider details
- NPI number
- 1558055103
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- D-5515 (ID)
Mailing address
7915 W Ustick Rd
Boise, ID 83704-5851
Registry dates
- Enumerated
- 2023-06-06
- Last updated
- 2024-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.