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DR. LELAND HICKMAN D.M.D.
NPI 1306984588
Dentist - General Practice in Peoria, IL

Active since February 01, 2007
809 W DETWEILLER DR, SUITE 805A, PEORIA, IL 61615(309) 692-1320(309) 692-1355 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Leland Hickman D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LELAND HICKMAN D.M.D. (NPI 1306984588) is an individual general practice provider in Peoria, Illinois and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1306984588
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LELAND HICKMANCredential: D.M.D.
Location Address809 W DETWEILLER DR, SUITE 805APeoria, IL 61615-2149
Mailing Address9159 Deer Ridge DrBloomington, IL 61704-7821
Phone(309) 692-1320
Fax(309) 692-1355
Sole ProprietorNo
Enumeration DateFebruary 1, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1306984588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
809 W DETWEILLER DR, Peoria, IL 61615
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Other Identifiers 1

Medicaid1002205IL

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALEX HUTNIK I
Dentist (General Practice)
809 W DETWEILLER DR, SUITE 805A
PEORIA, IL 61615
Peoria County (309) 692-1320
ORLAND PARK DENTAL SERVICES
Dentist (General Practice)
809 W DETWEILLER DR, SUITE 805A
PEORIA, IL 61615
Peoria County (309) 692-1320
DR. MARY SHAH-COX D.D.S.
Dentist
809 W DETWEILLER DR, SUITE 805A
PEORIA, IL 61615
Peoria County (309) 692-1320
DR. MORRISA R. BRODY-SCHWARTZ D.D.S.
Dentist (General Practice)
809 W DETWEILLER DR, SUITE 805A
PEORIA, IL 61615
Peoria County (309) 692-1320
DR. MEGAN CRAIG D.D.S.
Dentist (General Practice)
809 W DETWEILLER DR, SUITE 805A
PEORIA, IL 61615
Peoria County (309) 692-1320
DR. ROBERT R. EHRICH D.D.S.
Dentist (General Practice)
809 W DETWEILLER DR, SUITE 805A
PEORIA, IL 61615
Peoria County (309) 692-1320
SUPPORTIVE STEPS HOME HEALTHCARE
In Home Supportive Care
809 W DETWEILLER DR
PEORIA, IL 61615
Peoria County (309) 645-2823

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leland Hickman's NPI number?

The NPI number for Leland Hickman is 1306984588. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Leland Hickman located?

Leland Hickman practices at 809 W Detweiller Dr Suite 805A, Peoria, IL 61615. The listed phone number is (309) 692-1320.

What is Leland Hickman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Leland Hickman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.