DR. JORDAN KING ALEXIS HICKS DDS
NPI 1932629953
Dentist in Portland, ME

Q: What is Jordan Hicks's NPI number?

The NPI number for Jordan Hicks is 1932629953. It was assigned to this individual provider in the NPPES registry on June 21, 2017.

Q: What is Jordan Hicks's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Hicks was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 June 21, 2017

612 BRIGHTON AVE, PORTLAND, ME 04102(207) 772-4359 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Jun 21, 2017 (2 updates tracked since 2017).

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About Dr. Jordan King Alexis Hicks Dds NPPES

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

DR. JORDAN KING ALEXIS HICKS DDS (NPI 1932629953) is an individual dentist in Portland, Maine, licensed in Maine (DEN4543) and active in the NPI registry since June 2017. He maintains a secondary practice location in Windham.

NPPES Registry Identity

NPI1932629953

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JORDAN KING ALEXIS HICKSCredential: DDS

Location Address612 BRIGHTON AVEPortland, ME 04102-2359

Mailing Address612 Brighton AvePortland, ME 04102-2359

Phone(207) 772-4359

Sole ProprietorNo

Enumeration DateJune 21, 2017

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1932629953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in ME · DEN4543

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

612 BRIGHTON AVE, Portland, ME 04102

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Secondary Practice Location 1

Location 14 Commons AveWindham, ME 04062-5554 · Phone (207) 893-2001

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Humana, Renaissance Dental.Insurance ›

Other Providers at the Same Location NPPES 8

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

STEPHEN GANNETT MORSE DMD

Dentist (Periodontics)