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NPI Code Detail

MEDICARE: DR. JAMES M RICO DDS

MEDICARE: DR. JAMES M RICO 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
11223G0001XGeneral Practice Dentistry19193OH

General Provider Information

NPI Number : 1285608851
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES M RICO DDS
Provider Business Mailing Address
First Line : 4037 OXFORD CT
Second Line :
City : ORANGE VILLAGE
State : OH
Zip : 44122-4733
Country : US
Telephone Number : 216-378-9806
Fax Number :
Provider Business Practice Location Address
First Line : 6315 PEARL RD
Second Line :
City : PARMA HEIGHTS
State : OH
Zip : 44130-3082
Country : US
Telephone Number : 440-842-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2006
Last Update Date : 02/29/2012

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Directions to “ DR. JAMES M RICO DDS” Practice Location

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