Kylee Rider, DMD

General Practice Dentistry · Douglasville, GA

Individual Active NPI

NPI number 1194494831

Practice location

8590 Bowden St
Douglasville, GA 30134-4525
Phone
(770) 949-1680

Open in Google Maps

NPI record

NPI
1194494831
Entity type
Individual (Type 1)
Enumeration date
September 7, 2021
Last updated
September 7, 2021
Certified
September 7, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN122458 GA

Mailing address

8486 Campbellton St Unit 2211
Douglasville, GA 30133-0375
Phone
(470) 626-5735

About Dr. Rider

Kylee Rider, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 8590 Bowden St, Douglasville, GA 30134-4525. The NPI number 1194494831 was assigned on September 7, 2021 and the record was last updated on September 7, 2021.

Dr. Rider lists a license in the registry: #DN122458 (GA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kylee Rider, DMD?

The NPI number is 1194494831.

What is the phone number of Dr. Rider?

The phone number listed for the practice location is (770) 949-1680.

Where is Dr. Rider located?

8590 Bowden St, Douglasville, GA 30134-4525.

What is the taxonomy code for Dr. Rider?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Douglasville

All General Practice Dentistry providers in Douglasville, GA →