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Deactivated NPI 1548350465 Deactivated / Inactive NPI Male Practitioner

Dr. David Ricks , DDS

Dentist - General Practice • Forest Park, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Ricks has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 13, 2006
NPI Deactivation Date June 16, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. David Ricks, DDS was a registered Dentist - General Practice practicing in Forest Park, GA. Throughout an active medical career spanning 11 years, Dr. Ricks provided care at the practice location at 541 FOREST PKWY until profile deactivation on 2017-06-16.

Practice Location & Contact Primary Location

Practice Address

541 Forest Pkwy
Suite 18

Forest Park, GA 302976144

Telephone 4043617333
Fax 4043618954
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Forest Park, GA

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

Practicing in Forest Park, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN011946

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1376383323

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 16, 2017

Record deactivated on June 16, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 541 FOREST PKWY, SUITE 18, FOREST PARK, GA 302976144 (Tel: 4043617333)

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Updated Business Mailing Address July 08, 2007

Registered at 541 FOREST PKWY, SUITE 18, FOREST PARK, GA 302976144 (Tel: 4043617333)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID RICKS, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DN011946 in GA)

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Initial NPI Registration & Enumeration October 13, 2006

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: 1548350465
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2006
Last Update: July 08, 2007
Deactivation Date: June 16, 2017

Mailing Address

541 Forest Pkwy, Suite 18

Forest Park, GA 302976144

Phone: 4043617333

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.