Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Trevor Ricketts, DMD

Individual provider General Practice Dentistry · NPI 1134806524

Andrew Trevor Ricketts, DMD is a General Practice Dentistry in Bentonville, Arkansas. Works from 3 locations. Licensed in Arkansas.

Licensed in
AR
In the registry since
2023
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

104 S Walton Blvd
Bentonville, AR 72712-5747
Phone: (479) 273-3757
Fax: (479) 755-3201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2001 W Walnut St, Rogers, AR 72756-3243 — (479) 636-6807
  • 2603 W Pleasant Grove Rd Ste 111, Rogers, AR 72758-8514 — (479) 282-1023

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4689 (AR)

Record details

NPI number1134806524
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 28, 2023
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023

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