| Riley Dental | |
|
2908 Greenbriar Dr Suite C Springfield IL 62704-7432 | |
| (217) 787-3727 | |
| Not Available |
| Full Name | Riley Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2908 Greenbriar Dr, Springfield, Illinois |
| Authorized Official Name and Position | Thomas Warren Riley (PRESIDENT) |
| Authorized Official Contact | 2177873727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riley Dental 2908 Greenbriar Dr Suite C Springfield IL 62704-7432 Ph: (217) 787-3727 | Riley Dental 2908 Greenbriar Dr Suite C Springfield IL 62704-7432 Ph: (217) 787-3727 |
| NPI Number | 1528283561 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528283561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19-A-15732 (Illinois) | Primary |
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