Individual
ANDREW TREVOR RICKETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
104 S WALTON BLVD, BENTONVILLE, AR 72712-5747
(479) 273-3757
(479) 755-3201
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
(918) 235-9079
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4689
AR
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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