Individual
DR. RILEY JARED HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1255 ALLEN WAY, JACKSON, WY 83002-8300
(307) 690-5990
Mailing address
PO BOX 11606, JACKSON, WY 83002-1606
(307) 690-5990
(208) 528-6399
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12550699-9925
UT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
1506
WY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D-3314-OS
ID
Other
Enumeration date
10/05/2005
Last updated
04/20/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us