Charles Shubert Ricks in Visalia - Oral And Maxillofacial Surgery

Charles Shubert Ricks - NPI 1740294412

Charles Shubert Ricks is a Oral And Maxillofacial Surgery in Visalia, California. Charles Shubert Ricks practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Charles Shubert Ricks is 1740294412. The last update date is 2011-10-13.

Charles Shubert Ricks's current location address is 136 S Aspen Ct, Visalia, California. You can contact this provider via phone number 5596259300 and fax number 5596259330. The mailing address for Charles Shubert Ricks is 136 S Aspen Ct, Visalia, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Shubert Ricks
Address 136 S Aspen Ct, Visalia, California
Phone Number 5596259300
Fax Number 5596259330
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1740294412
Provider Enumeration Date 2006-07-28
Last Updated Date 2011-10-13

Provider Mailing Address Detail

Address 136 S Aspen Ct
City Visalia
State California (CA)
Post Code 932915175
Phone Number 5596259300
Fax Number 5596259330

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No GA1358
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
G93774-01 CA DENT-CAL

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FAQs about Charles Shubert Ricks

What is the unique identifier code issued to Charles Shubert Ricks by the Centers for Medicare & Medicaid Services (CMS)?

The Charles Shubert Ricks has been assigned the NPI (National Provider Identifier) 1740294412. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Charles Shubert Ricks is physically located?

The Charles Shubert Ricks is physically situated at the following address: 136 S Aspen Ct, Visalia, CA, 932915175.

What is Charles Shubert Ricks's specialized field of practice, and what is the corresponding taxonomy classification code?

The Charles Shubert Ricks's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.

When was the Charles Shubert Ricks's 1740294412 issued?

The Charles Shubert Ricks's 1740294412 was issued on 2006-07-28.

As of what date were the Charles Shubert Ricks's details last updated?

The information pertaining to the Charles Shubert Ricks, including its address, specialty, and other details, was most recently updated on 2011-10-13.

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