Provider Demographics
NPI:1538267646
Name:HOUCK, VICKI MARIE (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:VICKI
Middle Name:MARIE
Last Name:HOUCK
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 CASTLEBAR LN
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-9275
Mailing Address - Country:US
Mailing Address - Phone:614-736-9548
Mailing Address - Fax:
Practice Address - Street 1:110 CASTLEBAR LN
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-9275
Practice Address - Country:US
Practice Address - Phone:614-736-9548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC60431223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics