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RICKE DDS PLLC
NPI 1023731551
Dentist - General Practice in Raleigh, NC

Active since September 20, 2022
2310 MYRON DR, RALEIGH, NC 27607(919) 781-8610 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ricke Dds Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICKE DDS PLLC (NPI 1023731551), doing business as Lake Boone Dentistry, is a healthcare organization registered as a general practice in Raleigh, North Carolina and active in the NPI registry since September 2022. The organization lists Matt J Ricke, Manager, as its authorized official.

NPPES Registry Identity

NPI1023731551
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRICKE DDS PLLC
Location Address2310 MYRON DRRaleigh, NC 27607-0059
Mailing Address512 Fallon Grove WayRaleigh, NC 27608-1879 · (904) 307-1239
Phone(919) 781-8610
Organization SubpartNo
Authorized OfficialMatt J RickeManager · (919) 781-8610
Enumeration DateSeptember 20, 2022
NPPES CertifiedSeptember 20, 2022
✔ NPI 1023731551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2310 MYRON DR, Raleigh, NC 27607
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Other Names 1

Doing Business AsLake Boone Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM DAVID GOVER DMD
Dentist
2310 MYRON DR
RALEIGH, NC 27607
Wake County (919) 782-9516
J. CHRISTIAN SHEAFFER DDS. PLLC
Dentist (Endodontics)
2310 MYRON DR
RALEIGH, NC 27607
Wake County (919) 782-8603
GRAY & SCURRIA, PLLC
Preferred Provider Organization
2310 MYRON DR
RALEIGH, NC 27607
Wake County (919) 850-5885
DR. DAN MORRISSETTE AVERETT D.D.S.
Dentist (General Practice)
2310 MYRON DR
RALEIGH, NC 27607
Wake County (919) 782-9516
DR. CHARLES KNOX MCMILLAN DDS
Dentist (Periodontics)
2310 MYRON DR
RALEIGH, NC 27607
Wake County (919) 781-6217
DR. GERALD W UPTON DDS MS PHD
Dentist
2310 MYRON DR
RALEIGH, NC 27607
Wake County (919) 782-5723
DR. SUSAN DOUGLAS GOVER DMD
Dentist
2310 MYRON DR
RALEIGH, NC 27607
Wake County (919) 782-9516
GOVER & GOVER, DMD, PA
Dentist (General Practice)
2310 MYRON DR
RALEIGH, NC 27607
Wake County (919) 782-9516

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ricke Dds PLLC's NPI number?

The NPI number for Ricke Dds PLLC is 1023731551. It was assigned to this organization in the NPPES registry on September 20, 2022. The provider is doing business as Lake Boone Dentistry.

Where is Ricke Dds PLLC located?

Ricke Dds PLLC is located at 2310 Myron Dr, Raleigh, NC 27607. The listed phone number is (919) 781-8610.

What is Ricke Dds PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Ricke Dds PLLC was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.