Riley J. Hicks D.D.S., P.A.

LBN: Riley J. Hicks D.D.S., P.A.
Riley J. Hicks D.D.S., P.A. is an health care organization with primary practice located at 3905 Washington Pkwy , Idaho Falls ID 83404-7596. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Riley J. Hicks D.D.S., P.A. can be contacted via phone (208) 528-6000, or through Hicks, Riley Jared via phone (208) 528-6000.

Contact Information

Primary practice address
3905 Washington Pkwy Idaho Falls ID 83404-7596
Phone: (208) 528-6000
Fax: (208) 528-6399
Website:
Map and Directions
Authorized official contact:
Name: Hicks, Riley Jared Doctor of Dental Surgery (DDS)
Phone: (208) 528-6000

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 3314 Idaho

Profile Details

NPI number 1164615084
LBN Legal business name Riley J. Hicks D.D.S., P.A.
DBA Doing business as
Authorized official Hicks, Riley Jared Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2007
Last updated Aug 23rd, 2007 - about 17 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 1164615084 NPPES
Montana MEDICAID 0025480

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