DR. RILEY JARED HICKS D.D.S. NPI 1659368447

NPI Information

NPI: 1659368447
Provider Name: DR. RILEY JARED HICKS, D.D.S.
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
1255 ALLEN WAY
JACKSON, WY
ZIP 83002
Phone: (307) 690-5990
Get Directions

DR. Riley Jared Hicks, D.D.S. is an oral and maxillofacial surgery dentist in Jackson, WY. 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. Riley Jared Hicks, D.D.S. NPI is 1659368447. 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:

1255 ALLEN WAY
JACKSON, WY
ZIP 83002-300
Phone: (307) 690-5990

The enumeration date for this NPI number is 10/5/2005 and was last updated on 4/20/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	D-3314-OS	IDAHO	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	1506	WYOMING	No
3	1223S0112X	Dentist	Oral and Maxillofacial Surgery	12550699-9925	UTAH	Yes

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

NPI Synchronization or Removal

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