Samuel K Rickman DDS

NPI 1053300111 - Dentist - 1223S0112X

NPI Details
NPI 1053300111
Gender Male
Enumeration Date 10/20/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
JACKSON TN, 38305-2157, US
Phone (731) 668-7412
Business Location
PO BOX 10517
JACKSON TN, 38308-0108, US
Phone (731) 668-7412
Taxonomy Code 1223S0112X
License State Tennessee
License Number DS6829
Remove 1053300111 NPI Number

According to our database, Dr. Samuel K Rickman DDS NPI is 1053300111, taxonomy code is 1223S0112X and license number is DS6829, license state is located at Tennessee. Samuel K Rickman DDS physically located at 11 Medical Park Ct, Jackson TN, 38305-2157. NPI Number Samuel K Rickman DDS has the Individual type.

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1053300111 NPI number is provided on an as is basis without warranty of any kind. 1053300111 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel K Rickman DDS are for informational purposes only.