Provider Type Icon

DR. NATHANIEL D TRICKER DDS NPI 1114903739


NPI Information

NPI: 1114903739
Provider Name: DR. NATHANIEL D TRICKER, DDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
244 HYDRAULIC RIDGE ROAD
CENTRAL VIRGINIA ORAL & FACIAL SURGEONS
CHARLOTTESVILLE, VA
ZIP 22901
Phone: (434) 973-3348
Get Directions

DR. Nathaniel D Tricker, DDS is an oral and maxillofacial surgery dentist in Charlottesville, VA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Nathaniel D Tricker, DDS NPI is 1114903739. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

244 HYDRAULIC RIDGE ROAD
CENTRAL VIRGINIA ORAL & FACIAL SURGEONS
CHARLOTTESVILLE, VA
ZIP 22901
Phone: (434) 973-3348
Fax: (434) 977-5790

The NPI 1114903739 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 12/15/2005 and was last updated on 8/23/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery12010200AINDIANANo
21223S0112XDentistOral and Maxillofacial SurgeryDE00011016WASHINGTONNo
31223S0112XDentistOral and Maxillofacial Surgery0401412914VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.