Individual
JEREMIAH RICKETSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
928 FARMINGTON AVE, WEST HARTFORD, CT 06107-2227
(860) 232-4606
Mailing address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 764-1568
(734) 615-1415
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2.013969
CT
Other
Enumeration date
07/01/2019
Last updated
06/26/2025
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