Provider Demographics
NPI:1285910521
Name:RICCI, JEAN Z (DDS)
Entity type:Individual
Prefix:DR
First Name:JEAN
Middle Name:Z
Last Name:RICCI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 BROOK ST
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5147
Mailing Address - Country:US
Mailing Address - Phone:914-722-0111
Mailing Address - Fax:914-722-6052
Practice Address - Street 1:75 BROOK ST
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5147
Practice Address - Country:US
Practice Address - Phone:914-722-0111
Practice Address - Fax:914-722-6052
Is Sole Proprietor?:No
Enumeration Date:2011-11-01
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046019-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist