John F Bickford, D.D.S. Valid NPI

Individual provider · General Practice Dentistry · Dallas, GA

NPI

1457440059

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

GA 8747 (GA)

Sex

Male

Sole proprietor

No

Enumerated

2006-10-12

Last updated

2007-07-08