MARY HICKERSON DDS
NPI 1487262697
Dentist - General Practice in Eglin Afb, FL

Active since July 14, 2020
307 BOATNER RD STE 114, EGLIN AFB, FL 32542(850) 803-3801 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2021, Apr 19, 2021, Jul 14, 2020 (3 updates tracked since 2020).

About Mary Hickerson Dds NPPES

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

MARY HICKERSON DDS (NPI 1487262697) is an individual general practice provider in Eglin Afb, Florida, licensed in Montana (19470) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1487262697
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMARY HICKERSONCredential: DDS
Location Address307 BOATNER RD STE 114Eglin Afb, FL 32542-1302
Mailing Address307 Boatner Rd Ste 114Eglin Afb, FL 32542-1302
Sole ProprietorNo
Enumeration DateJuly 14, 2020
Last NPPES UpdateApril 30, 20253 updates tracked since enumeration
NPPES CertifiedApril 30, 2025
NPI 1487262697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in MT · 19470 Licensed in TX · 36313
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.
Also ListedDentistTaxonomy 122300000X · License DN28849 (FL), 19470 (MT)
307 BOATNER RD STE 114, Eglin Afb, FL 32542

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Physical Therapist
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Anesthesiology
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
General Practice
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Nurse Practitioner (Family)
307 BOATNER RD STE 114
EGLIN, FL 32542
Anesthesiology
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Internal Medicine
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
General Practice
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Military Health Care Provider
307 BOATNER RD STE 114
EGLIN AFB, FL 32542

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 Mary Hickerson's NPI number?

The NPI number for Mary Hickerson is 1487262697. It was assigned to this individual provider in the NPPES registry on July 14, 2020.

Where is Mary Hickerson located?

Mary Hickerson practices at 307 Boatner Rd Ste 114, Eglin Afb, FL 32542. The listed phone number is (850) 803-3801.

What is Mary Hickerson's specialty?

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

What insurance does Mary Hickerson accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 14 other insurers list Mary Hickerson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Hickerson was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.