Organization
RILEY J. HICKS D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RILEY JARED HICKS D.D.S. (OWNER)
(208) 528-6000
Entity
Organization
Contact information
Practice address
3905 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7596
(208) 528-6000
(208) 528-6399
Mailing address
3905 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7596
(208) 528-6000
(208) 528-6399
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3314
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0025480
—
MT
Enumeration date
08/23/2007
Last updated
08/23/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up