EDWARD L RICK DDSMSPC NPI 1588818736

NPI Information

  • NPI: 1588818736
  • Provider Name: EDWARD L RICK DDS,MS,PC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 6926 N UNIVERSITY ST STE C
    PEORIA, IL
    ZIP 61614
  • Phone: (309) 692-5863

Map and Directions

Get Directions

NPI Details

EDWARD L RICK DDS,MS,PC is a pediatric dentistry dentist in Peoria, IL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. EDWARD L RICK DDS,MS,PC NPI is 1588818736. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6926 N UNIVERSITY ST STE C
PEORIA, IL
ZIP 61614-728
Phone: (309) 692-5863
Fax: (309) 689-3031

The provider's authorized official is Kimberly A Hoskins .
The authorized official title is Receptionist and has the following contact phone number (309) 682-5863.

The enumeration date for this NPI number is 11/13/2008 and was last updated on 11/13/2008.

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
11223P0221XDentistPediatric Dentistry021-000885ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11003466/101355MEDICAIDILLINOIS

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: 3/30/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI