Individual provider · Type 1 NPI

Jeff L. Rickabaugh, DDS, M.D.S., P.A.

Orthodontics and Dentofacial Orthopedics Dentistry · Winston Salem, NC

NPI number 1083642458 Active

Practice location

1551 Westbrook Plaza Dr, Suite 103
Winston Salem, NC 27103-1355

Fax (336) 760-2263

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X5949 (NC)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1083642458

Jeff L. Rickabaugh, DDS, M.D.S., P.A.'s National Provider Identifier is 1083642458, issued on Jun 28, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Winston Salem, NC. The record was last updated on Jul 8, 2007.