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Andrew Trevor Ricketts, DMD

General Practice Dentistry in Bentonville, AR · enumerated 2023.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134806524

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Registry record

Entity type Individual (Type 1)
Name Andrew Trevor Ricketts
Credential DMD
Sex Male
Practice address 104 S Walton Blvd, Bentonville, AR, 72712
Phone (479) 273-3757
Fax (479) 755-3201
Enumeration date Jun 28, 2023
Last updated in NPPES Jun 28, 2023

Taxonomy & licenses

1223G0001X General Practice Dentistry Dental Providers · License 4689 (AR) Primary
DMD · Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees. About the DMD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Andrew Ricketts?
Andrew Ricketts is registered in NPPES with the primary taxonomy of General Practice Dentistry. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-06-28.