Organization
RICKHEIM, DDS, MS, PLLC
Active
Parent organization
RICKHEIM, DDS, MS, PLLC
Other names
Peach Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
RICKHEIM, DDS, MS, PLLC
Authorized official
CASSIE WIETH (DIRECTOR OF PAYOR RELATIONS)
(623) 267-8121
Entity
Organization
Contact information
Practice address
1145 E POLSTON AVE, POST FALLS, ID 83854-6045
(208) 213-8385
Mailing address
1145 E POLSTON AVE, POST FALLS, ID 83854-6045
(208) 213-8385
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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