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Rickheim, DDS, Ms, PLLC — NPI 1811883291, Hayden, ID | NPI Central

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NPI 1811883291

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Rickheim, DDS, Ms, PLLC

NPI 1811883291 · Oral and Maxillofacial Surgery (Dentist) · Hayden, ID

Provider details

NPI number: 1811883291
Entity type: Organization
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Parent organization: Rickheim, DDS, Ms, PLLC
Organization subpart: Yes
Authorized official: Cassie Wieth, Director of Payor Relations(623) 267-8121

Specialties & taxonomies

Oral and Maxillofacial Surgery (Dentist)Primary1223S0112X
Dental Providers

Practice location

1701 W Prairie Ave Ste 103

Hayden, ID 83835-8421

Phone: (208) 216-0373

Approximate (ZIP-level) locationGet directions

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Mailing address

1701 W Prairie Ave Ste 103

Hayden, ID 83835-8421

Other names (DBA / former)

Doing business as: Timberline Oral Surgery & Dental Implants

Registry dates

Enumerated: 2025-06-13
Last updated: 2025-06-13
Certified: 2025-06-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.