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
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • Address: 1255 ALLEN WAY
    JACKSON, WY
    ZIP 83002
  • Phone: (307) 690-5990

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NPI Details

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
11223S0112XDentistOral and Maxillofacial SurgeryD-3314-OSIDAHONo
21223S0112XDentistOral and Maxillofacial Surgery1506WYOMINGNo
31223S0112XDentistOral and Maxillofacial Surgery12550699-9925UTAHYes

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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