Objects / Clinician
Clinician Stored source record
Dr. DALLAS HALE HICKLE DDS
1615 HILL RD, STE. 12, NOVATO, CA, 949474340
atlas:atm_npi_1033256227
What is stored
- status
- A
- address
- 1615 HILL RD, STE. 12, NOVATO, CA, 949474340
- npi
- 1033256227
- license
- 29153
- taxonomy
- Dentist, Oral and Maxillofacial Surgery
- other names
- []
- last updated
- 2007-07-08
- license state
- CA
- taxonomy code
- 1223S0112X
- all taxonomies
- ["Dentist, Oral and Maxillofacial Surgery"]
- sole proprietor
- YES
- enumeration date
- 2007-01-30
- enumeration type
- NPI-1
- practice locations
- 0
Connected objects
has profession
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Read fact fields
{
"npi": "1033256227",
"status": "A",
"address": "1615 HILL RD, STE. 12, NOVATO, CA, 949474340",
"license": "29153",
"taxonomy": "Dentist, Oral and Maxillofacial Surgery",
"other_names": [],
"last_updated": "2007-07-08",
"license_state": "CA",
"taxonomy_code": "1223S0112X",
"all_taxonomies": [
"Dentist, Oral and Maxillofacial Surgery"
],
"sole_proprietor": "YES",
"enumeration_date": "2007-01-30",
"enumeration_type": "NPI-1",
"practice_locations": 0
}