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Contact Information

STEPHEN L RIDER, DDS
125 WEST SOUTH STREET
SUITE #10
KEWANEE, IL61443
 Phone: 309-852-2525
 Fax: 309-854-5505
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for STEPHEN L RIDER · (Male)

NPI # 1699887729
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/31/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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