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Active NPI 1609257765 Individual Practitioner Male Practitioner

Rickin Vibhakar

Dentist - General Practice • Decatur, GA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Rickin Vibhakar is a registered healthcare professional specializing in Dentist - General Practice in Decatur, GA. Official NPI practice address is registered at 315 W PONCE DE LEON AVE STE 240.

Practice Location & Contact Primary Location

Practice Address

315 W Ponce De Leon Ave Ste 240

Decatur, GA 300302483

Telephone 6307402042

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Decatur, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
81 Specialists

Practicing in Decatur, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-02
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 058685-1

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location August 02, 2025

Registered at 315 W PONCE DE LEON AVE STE 240, DECATUR, GA 300302483 (Tel: 6307402042)

📍
Updated Business Mailing Address August 02, 2025

Registered at 1631 STANWOOD AVE SE, ATLANTA, GA 303171911

📍
Updated Practice Location November 20, 2019

Registered at 719 W 181ST ST, NEW YORK, NY 100334731 (Tel: 7189204321)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2019

Dentist (License #058685-1 in NY)

NPI Profile Active June 15, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2015

Registered at 111 E 210TH ST, BRONX, NY 104672401 (Tel: 7189204321)

📍
Updated Business Mailing Address June 15, 2015

Registered at 1381 RIVER OAK DR, NAPERVILLE, IL 605652902

👤
Provider Name / Credentials Updated June 15, 2015

Recorded as RICKIN VIBHAKAR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 15, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609257765
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2015
Last Update: August 02, 2025
Sole Proprietor: No

Mailing Address

1631 Stanwood Ave Se

Atlanta, GA 303171911

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.