Provider Demographics
NPI:1013244557
Name:RICKS, ERIC DEAN (DDS)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:DEAN
Last Name:RICKS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ASPIRE
Mailing Address - Street 2:4727 BRAINERD RD
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37411
Mailing Address - Country:US
Mailing Address - Phone:423-622-4869
Mailing Address - Fax:423-622-4875
Practice Address - Street 1:ASPIRE ECONOMY DENTURE LEGAL ASDENT CORP.
Practice Address - Street 2:1625 MCCALLIE AVENUE
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404
Practice Address - Country:US
Practice Address - Phone:423-521-3550
Practice Address - Fax:423-531-7092
Is Sole Proprietor?:No
Enumeration Date:2009-11-04
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25649122300000X
TNDS9078122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist