MEDICARE: DR. KENNETH GORDON RICKS JR. DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	65355	CA

General Provider Information

NPI Number	:	1578992715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENNETH GORDON RICKS JR. DDS

Provider Business Mailing Address
First Line	:	5601 AUBURN ST UNIT B
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93306-2977
Country	:	US
Telephone Number	:	661-432-7773
Fax Number	:

Provider Business Practice Location Address
First Line	:	5601 AUBURN ST UNIT B
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93306-2977
Country	:	US
Telephone Number	:	661-432-7773
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2013
Last Update Date	:	01/26/2016

Similar Medicare Providers

1942202387 — DR. GUADALUPE ROBLES FNP
Practice Location Address:

5601 AUBURN ST UNIT A
BAKERSFIELD, CA
93306-2977

Practice Phone: 661-616-9700
Practice Fax: 661-616-9719

1861485732 — DR. BENITA LISA CUSHINGBERRY - TURNER MD
Practice Location Address:

5601 AUBURN ST UNIT A
BAKERSFIELD, CA
93306-2977

Practice Phone: 661-616-9700
Practice Fax: 661-616-9719

1801253505 — KENNETH RICKS DDS INC
Practice Location Address:

5601 AUBURN ST UNIT B
BAKERSFIELD, CA
93306-2977

Practice Phone: 661-432-7773
Practice Fax:

1033606553 — HULLANDER AND MOZINGO LP
Practice Location Address:

5601 AUBURN ST UNIT A
BAKERSFIELD, CA
93306-2977

Practice Phone: 661-401-6150
Practice Fax:

1497521736 — KELBIE LEWIS
Practice Location Address:

3715 COLUMBUS ST
BAKERSFIELD, CA
93306-2719

Practice Phone: 661-589-2289
Practice Fax:

1427729797 — ALEJANDRA DEL CARMEN VENTO OCHOA
Practice Location Address:

2621 OSWELL ST
BAKERSFIELD, CA
93306-3172

Practice Phone: 661-868-6750
Practice Fax:

Directions to “ DR. KENNETH GORDON RICKS JR. DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.