Individual
DR. BENJAMIN PAUL RICKETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6240 S MAIN ST, 285, AURORA, CO 80016-5376
(303) 627-5420
(303) 627-5423
Mailing address
6240 S MAIN ST, 285, AURORA, CO 80016-5376
(303) 627-5420
(303) 627-5423
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
12010975A
IN
1223E0200X
Endodontics
Primary
DEN.00010273
CO
390200000X
Student in an Organized Health Care Education/Training Program
12010975A
IN
Other
Enumeration date
01/09/2008
Last updated
01/03/2015
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