Ricks, Mathew Willis

Ricks, Mathew Willis is an individual health care provider with primary practice located at 321 W 2Nd St , Winslow AZ 86047-3406. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ricks, Mathew Willis can be contacted via phone (928) 289-4441.

Contact Information

Primary practice address
321 W 2Nd St Winslow AZ 86047-3406
Phone: (928) 289-4441
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D4194 Arizona

Profile Details

NPI number 1669440756
LBN Legal business name Ricks, Mathew Willis
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 8th, 2007 - about 17 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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