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Contact Information

TERRANCE P RILEY DDS PC
5345 SPRING ST
DAVENPORT, IA52807-2764
 Phone: 319-337-2599
 Fax: 319-337-7948
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Dentist

122300000X
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Orofacial Pain

1223X2210X
Indicates primary specialty

NPI Profile & details for TERRANCE P RILEY DDS PC

NPI # 1841300688
LBN Legal business name TERRANCE P RILEY DDS PC
Authorized official TERRANCE RILEY - (DENTIST OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2006
Last updated 11/01/2021 - About 5 years ago
Identifiers
CO License # S137
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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