Provider Demographics
NPI:1053579185
Name:FINSTAD, RICKI LEE (DDS)
Entity type:Individual
Prefix:DR
First Name:RICKI
Middle Name:LEE
Last Name:FINSTAD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1345 CAMPBELL RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-6452
Mailing Address - Country:US
Mailing Address - Phone:713-468-7676
Mailing Address - Fax:713-468-2710
Practice Address - Street 1:1345 CAMPBELL RD
Practice Address - Street 2:SUITE 110
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-6452
Practice Address - Country:US
Practice Address - Phone:713-468-7676
Practice Address - Fax:713-468-2710
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11311122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist