Individual provider · Type 1 NPI

Ryan P. Wicker, DDS

General Practice Dentistry · Shreveport, LA

NPI number 1487684775 Active

About NPI 1487684775

Ryan P. Wicker, DDS's National Provider Identifier is 1487684775, issued on Jul 3, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Shreveport, LA. The record was last updated on Jul 8, 2007.