Hicks, Riley Jared

Hicks, Riley Jared is an sole proprietor health care provider with primary practice located at 1255 Allen Way , Jackson WY 83002-8300. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Hicks, Riley Jared can be contacted via phone (307) 690-5990.

Contact Information

Primary practice address
1255 Allen Way Jackson WY 83002-8300
Phone: (307) 690-5990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D-3314-OS Idaho
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 1506 Wyoming
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 12550699-9925 Utah

Profile Details

NPI number 1659368447
LBN Legal business name Hicks, Riley Jared
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2005
Last updated Apr 20th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers