Individual provider · Type 1 NPI

Jared Ricks, DDS

Pediatric Dentistry · Katy, TX

NPI number 1679109516 Active

Practice location

23302 W Fernhurst Dr # 200
Katy, TX 77494-1742

Other practice locations

  • 3020 Childrens Way, San Diego, CA 92123-4223 · (858) 576-1700

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Dentistry Primary 1223P0221X38132 (TX)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1679109516

Jared Ricks, DDS's National Provider Identifier is 1679109516, issued on Mar 22, 2020. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Katy, TX. The record was last updated on Jan 18, 2023.