Edward L Rick Dds,Ms,Pc

LBN: Edward L Rick Dds,Ms,Pc
Edward L Rick Dds,Ms,Pc is an health care organization with primary practice located at 6926 N University St Ste C , Peoria IL 61614-1728. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Edward L Rick Dds,Ms,Pc can be contacted via phone (309) 692-5863, or through Hoskins, Kimberly A via phone (309) 682-5863.

Contact Information

Primary practice address
6926 N University St Ste C Peoria IL 61614-1728
Phone: (309) 692-5863
Fax: (309) 689-3031
Website:
Map and Directions
Authorized official contact:
Name: Hoskins, Kimberly A
Phone: (309) 682-5863

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 021-000885 Illinois

Profile Details

NPI number 1588818736
LBN Legal business name Edward L Rick Dds,Ms,Pc
DBA Doing business as
Authorized official Hoskins, Kimberly A
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2008
Last updated Nov 13th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588818736 NPPES
Illinois MEDICAID 1003466/101355

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