Rickard Road Dental Group

LBN: Rickard Road Dental Group
Rickard Road Dental Group is an health care organization with primary practice located at 1140 Rickard Rd Ste 1 , Springfield IL 62704-6385. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Rickard Road Dental Group can be contacted via phone (217) 787-3096, or through Duewer, Ethan via phone (217) 691-7778.

Contact Information

Primary practice address
1140 Rickard Rd Ste 1 Springfield IL 62704-6385
Phone: (217) 787-3096
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Duewer, Ethan
Phone: (217) 691-7778

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1245981570
LBN Legal business name Rickard Road Dental Group
DBA Doing business as
Authorized official Duewer, Ethan
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2022
Last updated Jan 18th, 2022 - about 3 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.

Request for update

Popular Providers