| Edward L Rick DDS MS PC | |
|
1808 First Ave Sterling IL 61081-1202 | |
| (815) 625-2112 | |
| (815) 625-2143 |
| Full Name | Edward L Rick DDS MS PC |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1808 First Ave, Sterling, Illinois |
| Authorized Official Name and Position | Tracy Gamm (OFFICER MANAGER) |
| Authorized Official Contact | 8156252112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward L Rick DDS MS PC 1808 First Ave Sterling IL 61081-1202 Ph: (815) 625-2112 | Edward L Rick DDS MS PC 1808 First Ave Sterling IL 61081-1202 Ph: (815) 625-2112 |
| NPI Number | 1639322746 |
|---|---|
| Provider Enumeration Date | 11/03/2008 |
| Last Update Date | 11/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639322746 | NPI | - | NPPES |
| 1003466/101354 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 021-000885 (Illinois) | Primary |
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