Organization
AUSTIN T RICKABAUGH DDS LLC
Active
Other names
Austin T Rickabaugh DDS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUSTIN RICKABAUGH DDS (DENTIST/OWNER)
(620) 212-3156
Entity
Organization
Contact information
Practice address
8615 ROSEHILL RD STE 204, LENEXA, KS 66215-2897
(620) 212-3156
Mailing address
9821 OUTLOOK DR, OVERLAND PARK, KS 66207-2848
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487262283
NPI
—
Enumeration date
05/18/2023
Last updated
05/18/2023
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