Provider Demographics
NPI:1811161748
Name:D. KEVIN RYKARD, DDS, PC
Entity type:Organization
Organization Name:D. KEVIN RYKARD, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RYKARD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:405-752-0844
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:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental