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Organization
RICKHEIM, DDS, MS, PLLC
Active
Organization
RICKHEIM, DDS, MS, PLLC
Active
Parent organization
RICKHEIM, DDS, MS, PLLC
Other names
Timberline Oral Surgery & Dental Implants
Organization subpart
Yes
Provider details
NPI number
Legal business name
RICKHEIM, DDS, MS, PLLC
Authorized official
CASSIE WIETH (DIRECTOR OF PAYOR RELATIONS)
(623) 267-8121
Entity
Organization
Contact information
Practice address
1701 W PRAIRIE AVE STE 103, HAYDEN, ID 83835-8421
(208) 216-0373
Mailing address
1701 W PRAIRIE AVE STE 103, HAYDEN, ID 83835-8421
(208) 216-0373
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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