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RIVERSIDE DENTISTRY LLC NPI 1427349216


NPI Information

NPI: 1427349216
Provider Name: RIVERSIDE DENTISTRY, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
609 22ND ST
MOLINE, IL
ZIP 61265
Phone: (309) 797-2001
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RIVERSIDE DENTISTRY, LLC is a general practice dentist in Moline, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. RIVERSIDE DENTISTRY, LLC NPI is 1427349216. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

609 22ND ST
MOLINE, IL
ZIP 61265-450
Phone: (309) 797-2001
Fax: (309) 764-8236

The provider's authorized official is Ronald D Riggins .
The authorized official title is Owner and has the following contact phone number (309) 797-2001.

The enumeration date for this NPI number is 4/27/2011 and was last updated on 4/27/2011.


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
11223G0001XDentistGeneral Practice019017034ILLINOISNo
21223G0001XDentistGeneral Practice019025287ILLINOISYes

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

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