Gary Lynn Riddle, DDS

General Practice Dentistry · Scott City, MO

Individual Active NPI

NPI number 1942361365

Practice location

1420 Main St
Scott City, MO 63780-1936
Phone
(573) 264-2020
Fax
(573) 264-2678

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NPI record

NPI
1942361365
Entity type
Individual (Type 1)
Enumeration date
December 12, 2006
Last updated
January 10, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 13773 MO

About Dr. Riddle

Gary Lynn Riddle, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1420 Main St, Scott City, MO 63780-1936. The NPI number 1942361365 was assigned on December 12, 2006 and the record was last updated on January 10, 2012.

Dr. Riddle lists a license in the registry: #13773 (MO) 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 Gary Lynn Riddle, DDS?

The NPI number is 1942361365.

What is the phone number of Dr. Riddle?

The phone number listed for the practice location is (573) 264-2020.

Where is Dr. Riddle located?

1420 Main St, Scott City, MO 63780-1936.

What is the taxonomy code for Dr. Riddle?

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.