Organization · Type 2 NPI
DR Riley PC
Oral and Maxillofacial Surgery (Dentist) · Jackson, WY
NPI number
1639792450
Active
Practice location
1325 S Hwy 89 Apt 105
Jackson, WY 83001-8293
Mailing address
PO Box 11606
Jackson, WY 83002-1606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
About NPI 1639792450
DR Riley PC's National Provider Identifier is 1639792450, issued on May 27, 2020. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Jackson, WY. The record was last updated on May 27, 2020.