Rider, Peter

Rider, Peter is an individual health care provider with primary practice located at 1306 Washington St , West Newton MA 02465-2027. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Rider, Peter can be contacted via phone (617) 527-1600.

Contact Information

Primary practice address
1306 Washington St West Newton MA 02465-2027
Fax: (617) 527-8469
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 12189 Massachusetts

Profile Details

NPI number 1821183799
LBN Legal business name Rider, Peter
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 17 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 1821183799 NPPES
Massachusetts Other X10267 BLUE CROSS BLUE SHIELD

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