institution
Riley J. Hicks D.d.s., P.a.
Oral and Maxillofacial Surgery (Dentist) in Idaho Falls, Idaho
NPI 1164615084

Riley J. Hicks D.d.s., P.a. is a Oral and Maxillofacial Surgery (Dentist) based in Idaho Falls, ID and is specialized in Oral and Maxillofacial Surgery. Riley J. Hicks D.d.s., P.a. practices in Idaho Falls, ID. The NPI Number for Riley J. Hicks D.d.s., P.a. is 1164615084 and holds a License No. 3314 (Idaho).

The current practice location address for Riley J. Hicks D.d.s., P.a. is 3905 Washington Pkwy, Idaho Falls, ID and can be reached out via phone at 208-528-6000 and via fax at 208-528-6399.

Location: 3905 Washington Pkwy, Idaho Falls, ID, 83404-7596
institution
Provider Profile Details
NPI Number
1164615084
Provider Name
Riley J. Hicks D.d.s., P.a.
Credential
Provider Entity Type
Organization
Address
3905 Washington Pkwy, Idaho Falls, ID, 83404-7596
Phone Number
208-528-6000
Fax Number
208-528-6399
Provider Enumeration Date
08/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0025480 05 MT
institution
Provider Business Practice Location Address Details
Address
3905 Washington Pkwy
City
State
Zip
83404-7596
Phone Number
208-528-6000
Fax Number
208-528-6399
person
Provider Business Mailing Address Details
Address
3905 Washington Pkwy
City
State
Zip
83404-7596
Phone Number
208-528-6000
Fax Number
208-528-6399
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
3314 (Idaho)
Definition
The specialty of dentistry which includes 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.
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