Organization
ROBERT F RICKETTS, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT F RICKETTS DDS (PRESIDENT)
(336) 667-4143
Entity
Organization
Contact information
Practice address
122 WILKESBORO AVE, NORTH WILKESBORO, NC 28659-4218
(336) 667-4143
Mailing address
122 WILKESBORO AVE, P.O. BOX 157, NORTH WILKESBORO, NC 28659-4218
(336) 667-4143
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4109
NC
Other
Enumeration date
03/17/2007
Last updated
11/27/2013
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