| Paul Riley, DDS | |
|
108 S Maple St Ste C, Ridgeland, MS 39157-2305 | |
| (769) 567-2555 | |
| Not Available |
| Full Name | Paul Riley |
|---|---|
| Gender | Male |
| Speciality | Dentist - Orofacial Pain |
| Location | 108 S Maple St Ste C, Ridgeland, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285640383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2359-87 (Mississippi) | Secondary |
| 1223X2210X | Dentist - Orofacial Pain | OP-6042-23 (Mississippi) | Primary |
| Entity Name | Mississippi Orofacial Pain Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639813454 PECOS PAC ID: 3072999325 Enrollment ID: O20230906003568 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Riley, DDS 108 S Maple St Ste C, Ridgeland, MS 39157-2305 Ph: (769) 567-2555 | Paul Riley, DDS 108 S Maple St Ste C, Ridgeland, MS 39157-2305 Ph: (769) 567-2555 |
Dr. John L Henson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 451 North Park Dr #a, Ridgeland, MS 39157 Phone: 601-957-7030 Fax: 601-957-7732 | |
Dr. Michelle B Crews, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 141 Township Ave, Suite 111, Ridgeland, MS 39157 Phone: 769-257-0399 | |
Dr. Michael T Tramel, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 261 Trace Colony Park Drive, Suite A, Ridgeland, MS 39157 Phone: 601-982-7212 Fax: 601-981-2362 | |
Dr. Meredith Douglass, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7048 Old Canton Rd, Ridgeland, MS 39157 Phone: 601-853-8904 | |
Dr. Curtis Patrick Caskey, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 218 W Jackson St, Ridgeland, MS 39157 Phone: 601-856-1919 Fax: 601-856-1719 | |
Dr. Mary Tison Brown, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 261 Trace Colony Park Drive, Suite A, Ridgeland, MS 39157 Phone: 601-982-7212 Fax: 601-981-2362 |