Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Hickerson, DDS

Individual provider Dentist · NPI 1487262697

Mary Hickerson, DDS is a Dentist in Eglin AFB, Florida. Licensed in Florida, Montana and Texas. Registered with an NPI since 2020.

Licensed in
FL, MT, TX
In the registry since
2020
Specialties on file
4
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

307 Boatner Rd Ste 114
Eglin AFB, FL 32542-1302
Phone: (850) 803-3801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 19470 (MT)
Dentist Taxonomy 122300000X · Licence DN28849 (FL)
Dentist Taxonomy 122300000X · Licence 19470 (MT)
General Practice Dentistry Taxonomy 1223G0001X · Licence 36313 (TX)

Record details

NPI number1487262697
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 14, 2020
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025
Mailing address307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302

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