| Stephen L Ricks Dds Pc | |
|
900 20th Ave Sw Minot ND 58701 | |
| (701) 852-2455 | |
| (701) 852-2938 |
| Full Name | Stephen L Ricks Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 900 20th Ave Sw, Minot, North Dakota |
| Authorized Official Name and Position | Stephen Leon Ricks (PRESIDENT) |
| Authorized Official Contact | 7018522455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen L Ricks Dds Pc 900 20th Ave Sw Minot ND 58701 Ph: (701) 852-2455 | Stephen L Ricks Dds Pc 900 20th Ave Sw Minot ND 58701 Ph: (701) 852-2455 |
| NPI Number | 1073677191 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073677191 | NPI | - | NPPES |
| 40102 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 901533 (North Dakota) | Primary |
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