Riley, Ann E.

Riley, Ann E. is an individual health care provider with primary practice located at 407 Daisy Dr Suite A, Tahlequah OK 74464. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Riley, Ann E. can be contacted via phone (918) 431-0202.

Contact Information

Primary practice address
407 Daisy Dr Suite A Tahlequah OK 74464
Fax: (918) 431-0203
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5760 Oklahoma

Profile Details

NPI number 1154483774
LBN Legal business name Riley, Ann E.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Jul 8th, 2007 - about 18 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 1154483774 NPPES
Oklahoma Other 5760 BOARD OF DDS STATE OF OK

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