IndividualActive
Gordon Rick, DDS, MS
NPI 1679693550 · Oral and Maxillofacial Pathology Dentistry · San Diego, CA
Provider details
- NPI number
- 1679693550
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- DDS, MS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 20041 (CA)
Specialties & taxonomies
Dental Providers
Practice location
5190 Governor Dr
Suite 106
San Diego, CA 92122-2847
Phone: (858) 784-0600
Fax: (858) 784-0604
Approximate (ZIP-level) locationGet directions
Mailing address
5190 Governor Dr
San Diego, CA 92122-2847
Registry dates
- Enumerated
- 2007-04-02
- Last updated
- 2008-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.