Erin K Rickman, R.D.H.

Individual provider Active NPI Dental Hygienist · Fordland, MO

NPI 1003930207 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1003930207
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
002849 (MO)
Practice address
1059 Barton Dr
Fordland, MO 65652-7350
Phone
(417) 767-2273
Fax
(417) 767-4054
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
002849MOMDDental Hygienist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 002849 MO Yes

Addresses

Primary practice location

1059 Barton Dr
Fordland, MO 65652-7350

Mailing address

703 E Hadley St
Aurora, MO 65605-2621

Other providers in Fordland, MO

All providers in Fordland, MO · Dental Hygienist in Missouri

Sources for this page

Verify at the official NPI Registry.