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RILEY J. HICKS D.D.S., P.A.
NPI 1164615084
Dentist - Oral and Maxillofacial Surgery in Idaho Falls, ID

Active since August 23, 2007
3905 WASHINGTON PKWY, IDAHO FALLS, ID 83404(208) 528-6000(208) 528-6399 Get Directions Write a Review

NPPES record last updated: August 23, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Riley J. Hicks D.d.s., P.a. NPPES

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

RILEY J. HICKS D.D.S., P.A. (NPI 1164615084) is a healthcare organization registered as an oral and maxillofacial surgery in Idaho Falls, Idaho and active in the NPI registry since August 2007. The organization lists Riley Jared Hicks, Owner, as its authorized official.

NPPES Registry Identity

NPI1164615084
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameRILEY J. HICKS D.D.S., P.A.
Location Address3905 WASHINGTON PKWYIdaho Falls, ID 83404-7596
Mailing Address3905 Washington PkwyIdaho Falls, ID 83404-7596 · (208) 528-6000 · Fax (208) 528-6399
Phone(208) 528-6000
Fax(208) 528-6399
Organization SubpartNo
Authorized OfficialRiley Jared HicksOwner · (208) 528-6000
Enumeration DateAugust 23, 2007
✔ NPI 1164615084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in ID · 3314
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3905 WASHINGTON PKWY, Idaho Falls, ID 83404
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Other Identifiers 2

Medicare UPINU91985ID
Medicaid0025480MT

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 2

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

GREGORY MCGEE, DMD
Dentist (Oral and Maxillofacial Surgery)
3905 WASHINGTON PKWY
IDAHO FALLS, ID 83404
Bonneville County (208) 528-6000
GREGORY R MCGEE D.M.D.
Dentist (Oral and Maxillofacial Surgery)
3905 WASHINGTON PKWY
IDAHO FALLS, ID 83404
Bonneville County (208) 528-6000

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 Riley J. Hicks D.D.S., P.A.'s NPI number?

The NPI number for Riley J. Hicks D.D.S., P.A. is 1164615084. It was assigned to this organization in the NPPES registry on August 23, 2007.

Where is Riley J. Hicks D.D.S., P.A. located?

Riley J. Hicks D.D.S., P.A. is located at 3905 Washington Pkwy, Idaho Falls, ID 83404. The listed phone number is (208) 528-6000.

What is Riley J. Hicks D.D.S., P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Riley J. Hicks D.D.S., P.A. was last updated on August 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.