IndividualActive
Benjamin Ricks
NPI 1376303651 · Dentist · Riverton, UT
Provider details
- NPI number
- 1376303651
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- DN10000101 (MA)
Specialties & taxonomies
Dental Providers
Student, Health Care
Practice location
1812 W Winford Dr
Riverton, UT 84065-7439
Phone: (925) 330-5513
Approximate (ZIP-level) locationGet directions
Mailing address
1812 W Winford Dr
Riverton, UT 84065-7439
Registry dates
- Enumerated
- 2024-03-21
- Last updated
- 2024-05-29
- Certified
- 2024-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.