Individual provider · Type 1 NPI

Charles Shubert Ricks, DDS

Oral and Maxillofacial Surgery (Dentist) · Visalia, CA

NPI number 1740294412 Active

Practice location

136 S Aspen Ct, Suite B
Visalia, CA 93291-5175

Fax (559) 625-9330

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X23135 (CA)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XGA1358 (CA)

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.

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About NPI 1740294412

Charles Shubert Ricks, DDS's National Provider Identifier is 1740294412, issued on Jul 28, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Visalia, CA. The record was last updated on Oct 13, 2011.