Organization · Type 2 NPI

Rickheim, Dds, Ms, PLLC

Oral and Maxillofacial Surgery (Dentist) · Hayden, ID

NPI number 1811883291 Active

Practice location

1701 W Prairie Ave Ste 103
Hayden, ID 83835-8421

Specialties and licenses

Taxonomy	Code	License
Oral and Maxillofacial Surgery (Dentist) Primary	1223S0112X	None listed

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.

NPI record

NPI: 1811883291
Entity type: Organization (Type 2)
Issued: Jun 13, 2025
Last updated: Jun 13, 2025
Status: Active
Subpart: Yes of Rickheim, Dds, Ms, PLLC

Other names

Timberline Oral Surgery & Dental Implants · doing business as

Authorized official

Cassie Wieth
Director of Payor Relations
(623) 267-8121

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About NPI 1811883291

Rickheim, Dds, Ms, PLLC's National Provider Identifier is 1811883291, issued on Jun 13, 2025. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Hayden, ID. The record was last updated on Jun 13, 2025.