Rick D Thiery | Alexandria, MN • PECOS Search

Rick D Thiery

Dentist

Dental Providers

111 10th Ave E, Alexandria, MN 56308-1857

PECOS Enrollment

Based on the most recent information from CMS, provider Rick D Thiery does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1083734602
Provider Type
Individual
Full Name
Thiery, Rick D
Title
Dr.
Credential
DDS

Gender
Male
Sole Proprietor
Yes
Enumeration Date
3/29/2007
Last Updated
10/14/2011

Contact Information

Practice Location

111 10th Ave E, Alexandria, MN 56308-1857

Unlisted Fax

Mailing Location

111 10th Ave E, Alexandria, MN 56308-1857

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License 11247 Minnesota