Organization
STEPHEN L RICKS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN LEON RICKS DDS (PRESIDENT)
(701) 852-2455
Entity
Organization
Contact information
Practice address
900 20TH AVE SW, MINOT, ND 58701
(701) 852-2455
(701) 852-2938
Mailing address
900 20TH AVE SW, MINOT, ND 58701
(701) 852-2455
(701) 852-2938
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
901533
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40102
—
ND
Enumeration date
12/21/2006
Last updated
08/22/2020
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