| Rickheim, Dds, Ms, Pllc | |
|
1701 W Prairie Ave Ste 103 Hayden ID 83835-8421 | |
| (208) 216-0373 | |
| Not Available |
| Full Name | Rickheim, Dds, Ms, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1701 W Prairie Ave Ste 103, Hayden, Idaho |
| Authorized Official Name and Position | Cassie Wieth (DIRECTOR OF PAYOR RELATIONS) |
| Authorized Official Contact | 6232678121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rickheim, Dds, Ms, Pllc 1701 W Prairie Ave Ste 103 Hayden ID 83835-8421 Ph: (208) 216-0373 | Rickheim, Dds, Ms, Pllc 1701 W Prairie Ave Ste 103 Hayden ID 83835-8421 Ph: (208) 216-0373 |
| NPI Number | 1811883291 |
|---|---|
| Provider Enumeration Date | 06/13/2025 |
| Last Update Date | 06/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811883291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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