NPI age
11 years
Enumerated 2014-12-02
● Active
Type 1 · Individual
MRS. Cecilia Jo Hickam, RDH-EA, OMT
Hickam is 1 of 1 dental hygienist providers in Eagle and 1 of 54 in Idaho.
Primary specialty
Dental Hygienist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-12-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 54 active dental hygienist providers in Idaho.
NPI age
11 years
↑ 3 yr above median (7 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties
NPI lifetime · 2014 → 2026
2014-12Enumerated in NPPES
2014
2026
Where they practice
Practice location
1121 E. State Street, Suite - 102-D
Eagle, ID 83616
Mailing address
1121 E. State Street, Suite 102-D
Eagle, ID 83616
Specialties
-
Dental Hygienist PrimaryAn individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. ...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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