Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073601316 Individual Practitioner Male Practitioner

Dr. Stanley J Hickman , DMD

Dentist - General Practice • Forsyth, GA

Professional Overview & Biography Verified Profile Summary

Dr. Stanley Hickman, DMD is a registered healthcare professional specializing in Dentist - General Practice in Forsyth, GA. Practice services are available at 275 N FRONTAGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

275 N Frontage Rd

Forsyth, GA 310299556

Telephone 4789929104
Fax 4789929105
Associated Practice Facility / Clinic
🏢 Southern Smiles Llc Facility NPI 1942573662

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Forsyth, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
4 Specialists

Practicing in Forsyth, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA 011865

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000931422A (GA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 05, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 05, 2012

Registered at 275 N FRONTAGE RD, FORSYTH, GA 310299556 (Tel: 4789929104)

📍
Updated Business Mailing Address March 05, 2012

Registered at 275 N FRONTAGE RD, FORSYTH, GA 310299556 (Tel: 4789929104)

👤
Provider Name / Credentials Updated March 05, 2012

Recorded as STANLEY HICKMAN, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2012

Dentist (License #011865 in GA)

🟢
Initial NPI Registration & Enumeration October 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073601316
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2006
Last Update: March 05, 2012
Sole Proprietor: Yes

Mailing Address

275 N Frontage Rd

Forsyth, GA 310299556

Phone: 4789929104

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.