OrganizationActive
Alexandra Boudreau and Kevin Ricker
NPI 1700336955 · Pediatric Dentistry · Chapel Hill, NC
Provider details
- NPI number
- 1700336955
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kevin Ricker, Pediatric Dentist(919) 391-3813
- License
- 9311 (NC)
Specialties & taxonomies
Dental Providers
Practice location
79 Falling Springs Dr.
Suite 120
Chapel Hill, NC 27516
Phone: (919) 391-3813
Approximate (ZIP-level) locationGet directions
Mailing address
79 Falling Springs Dr.
Chapel Hill, NC 27516
Registry dates
- Enumerated
- 2016-10-12
- Last updated
- 2023-08-09
- Certified
- 2023-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.