Dr. Samuel K Rickman
Oral and Maxillofacial Surgeon
11 Medical Park Ct
Jackson
, Tennessee 38305-2157
Dr. Samuel K Rickman
Oral and Maxillofacial Surgeon
11 Medical Park Ct
Jackson
, Tennessee 38305-2157
(731) 668-7412
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Samuel K Rickman
- Po Box 10517
- Jackson, TN
- Zip : 38308-0108
- Phone : (731) 668-7412
Second Address
- Dr. Samuel K Rickman
- 11 Medical Park Ct
- Jackson, TN
- Zip : 38305-2157
- Phone : (731) 668-7412
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | DS6829 | TN |
National Provider Identifier
| NPI | 1053300111 |
|---|---|
| Provider Name | Dr. Samuel K Rickman |
| First Address | Jackson, TN 38308-0108 |
| Second Address | Jackson, TN 38305-2157 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/10/2005 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.