DR. BRUCE D RICKOFF DDS NPI 1194909820

NPI Information

  • NPI: 1194909820
  • Provider Name: DR. BRUCE D RICKOFF, DDS
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9590 MEDLOCK BRIDGE RD
    SUITE G
    DULUTH, GA
    ZIP 30097
  • Phone: (770) 232-5112

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NPI Details

DR. Bruce D Rickoff, DDS is an endodontics dentist in Duluth, GA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. DR. Bruce D Rickoff, DDS NPI is 1194909820. 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:

9590 MEDLOCK BRIDGE RD
SUITE G
DULUTH, GA
ZIP 30097-443
Phone: (770) 232-5112
Fax: (770) 232-5115

The NPI 1194909820 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 12/17/2007 and was last updated on 12/17/2007.

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
11223E0200XDentistEndodonticsDN009884GEORGIAYes

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: 11/21/2025

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