Individual provider · Type 1 NPI
Riley Jared Hicks, DDS
Oral and Maxillofacial Surgery (Dentist) · Jackson, WY
NPI number
1659368447
Active
Practice location
1255 Allen Way
Jackson, WY 83002-8300
Mailing address
PO Box 11606
Jackson, WY 83002-1606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | D-3314-OS (ID) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 1506 (WY) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 12550699-9925 (UT) |
Oral and Maxillofacial Surgery (Dentist): 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.
Other oral and maxillofacial surgery (dentist) providers in Jackson
About NPI 1659368447
Riley Jared Hicks, DDS's National Provider Identifier is 1659368447, issued on Oct 5, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Jackson, WY. The record was last updated on Apr 20, 2022.