THE CHILDREN'S DENTAL SURGERY CENTER – NPI #1669707279
Clinic/Center

THE CHILDREN'S DENTAL SURGERY CENTER is an AHC clinic located in VISALIA, CA. NPPES has assigned the NPI number 1669707279 to THE CHILDREN'S DENTAL SURGERY CENTER on October 15, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “THE CHILDREN'S DENTAL SURGERY CENTER” is a dba name, the actual legal business name for this organization is CHARLES S. RICKS. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 13 years ago on Nov 12, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THE CHILDREN'S DENTAL SURGERY CENTER below.

NPI Profile for
CHARLES S. RICKS

NPI Number
1669707279
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHARLES S. RICKS
Doing Business As (dba): THE CHILDREN'S DENTAL SURGERY CENTER
Primary location
136 ASPEN COURT
SUITE B
VISALIA, CA 93291
Phone: (559) 625-9300 Fax: (559) 624-1231
Mailing address
136 S ASPEN CT
VISALIA, CA 93291-5175
Phone: (559) 625-9300 Fax: (559) 625-9330
Organization Subpart
No
Authorized Official
CHARLES RICKS
OWNER
Phone: (559) 625-9300
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 CA 23135

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.