MR. JOSEPH RIDER LD NPI 1407364177

NPI Information

NPI: 1407364177
Provider Name: MR. JOSEPH RIDER, LD
Classification: Denturist - 122400000X
Entity Type: Individual
Address:
1523 NW CANAL BLVD STE 101
REDMOND, OR
ZIP 97756
Phone: (541) 316-8791
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MR. Joseph Rider, LD is a denturist in Redmond, OR. The provider is a denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices. MR. Joseph Rider, LD NPI is 1407364177. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1523 NW CANAL BLVD STE 101
REDMOND, OR
ZIP 97756-340
Phone: (541) 316-8791

The enumeration date for this NPI number is 1/16/2018 and was last updated on 1/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122400000X	Denturist		DT-DO-10171882	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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