Ricky Jentons, MALLP

NPI 1922297076 · on the registry since 2007 · sole proprietor

Practice

Address: 18181 Oakwood Blvd
311
Dearborn, MI 48124
Phone: (313) 271-8170
Fax: (313) 271-8353
Organisation at this address: Ccma-Bt Pllc
Ian Lytle Md Pc
Oakwood Dental Pc
Fadi Baidoun Md Pc
Oakwood Group X Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 110

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Also registered as: 103TB0200X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-05-20

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 Michigan