Individual
DR. RICKEY P FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
225 WINDSOR DR, MT STERLING, KY 40353
(859) 498-3400
Mailing address
225 WINDSOR DR, MT STERLING, KY 40353
(859) 498-3400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4207
KY
1223G0001X
General Practice Dentistry
4207
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45608916
EPSDT (A MEDICAID PROGRAM)
KY
05
—
60042074
—
KY
Enumeration date
02/12/2007
Last updated
06/15/2010
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