Provider Demographics
NPI:1336156900
Name:RYKARD, DAVID KEVIN (DDS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:KEVIN
Last Name:RYKARD
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 1:12448 SAINT ANDREWS DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-8601
Mailing Address - Country:US
Mailing Address - Phone:405-752-0844
Mailing Address - Fax:405-752-1218
Practice Address - Street 1:12448 SAINT ANDREWS DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-8601
Practice Address - Country:US
Practice Address - Phone:405-752-0844
Practice Address - Fax:405-752-1218
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK48891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice