Ricks, Charles Shubert

Ricks, Charles Shubert is an sole proprietor health care provider with primary practice located at 136 S Aspen Ct Suite B, Visalia CA 93291-5175. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Ricks, Charles Shubert can be contacted via phone (559) 625-9300.

Contact Information

Primary practice address
136 S Aspen Ct Suite B Visalia CA 93291-5175
Fax: (559) 625-9330
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 23135 California
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X GA1358 California

Profile Details

NPI number 1740294412
LBN Legal business name Ricks, Charles Shubert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Oct 13th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740294412 NPPES
California Other G93774-01 DENT-CAL

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