MRS. CECILIA JO HICKAM RDH-EA, OMT
NPI 1376940668
Dental Hygienist in Eagle, ID

Q: What is Cecilia Hickam's NPI number?

The NPI number for Cecilia Hickam is 1376940668. It was assigned to this individual provider in the NPPES registry on December 2, 2014.

Q: What is Cecilia Hickam's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Cecilia Hickam was last updated on December 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since December 02, 2014

1121 E. STATE STREET, SUITE - 102-D, EAGLE, ID 83616(208) 584-9060 Get Directions Write a Review

NPPES record last updated: December 2, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Cecilia Jo Hickam Rdh-ea, Omt NPPES

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

MRS. CECILIA JO HICKAM RDH-EA, OMT (NPI 1376940668) is an individual dental hygienist in Eagle, Idaho, licensed in Idaho (DH-0356-EA) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1376940668

Entity TypeIndividualFemale

Primary Taxonomy124Q00000X

Provider Legal NameMRS. CECILIA JO HICKAMCredential: RDH-EA, OMT

Location Address1121 E. STATE STREET, SUITE - 102-DEagle, ID 83616

Mailing Address1121 E. State Street, Suite 102-dEagle, ID 83616 · (208) 584-9060

Phone(208) 584-9060

Sole ProprietorNo

Enumeration DateDecember 2, 2014

✔ NPI 1376940668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

License✔ Licensed in ID · DH-0356-EA

Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

1121 E. STATE STREET, Eagle, ID 83616

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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 Cecilia Hickam's NPI number?

The NPI number for Cecilia Hickam is 1376940668. It was assigned to this individual provider in the NPPES registry on December 2, 2014.

Where is Cecilia Hickam located?

Cecilia Hickam practices at 1121 E. State Street Suite - 102-D, Eagle, ID 83616. The listed phone number is (208) 584-9060.

What is Cecilia Hickam's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Cecilia Hickam was last updated on December 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.