Covington Riddle, Paige

Covington Riddle, Paige is an individual health care provider with primary practice located at 309 Sw Market St , Lees Summit MO 64063-2315. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is her primary health care specialty. Covington Riddle, Paige can be contacted via phone (816) 246-4671.

Contact Information

Primary practice address
309 Sw Market St Lees Summit MO 64063-2315
Phone: (816) 246-4671
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3816 Arkansas
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 2015012809 Missouri

Profile Details

NPI number 1811285182
LBN Legal business name Covington Riddle, Paige
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2011
Last updated Jul 19th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811285182 NPPES
Texas MEDICAID 48834068
Texas MEDICAID 92707564
Texas MEDICAID 77576268

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