| Donald C Ricker Dmd | |
|
1041 Johnnie Dodds Blvd Ste 4a Mt Pleasant SC 29464 | |
| (843) 849-7609 | |
| (843) 849-7612 |
| Full Name | Donald C Ricker Dmd |
|---|---|
| Speciality | Dentist |
| Location | 1041 Johnnie Dodds Blvd, Mt Pleasant, South Carolina |
| Authorized Official Name and Position | Donald C Ricker (GENERAL DENTIST) |
| Authorized Official Contact | 8438497609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald C Ricker Dmd 1041 Johnnie Dodds Blvd Ste 4a Mt Pleasant SC 29464 Ph: (843) 849-7609 | Donald C Ricker Dmd 1041 Johnnie Dodds Blvd Ste 4a Mt Pleasant SC 29464 Ph: (843) 849-7609 |
| NPI Number | 1124163779 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124163779 | NPI | - | NPPES |
| Z32830 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3283 (South Carolina) | Primary |
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