Derek Rickson, DDS
NPI 1508419698 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1451 N 200 E Ste 200
Logan, UT 84341 - Phone
- (435) 258-9039
- Fax
- (435) 787-1741
- Organisation at this address
- Deserae J Goble Md Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-07-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah