West Edgewood Dental

LBN: Riyan Dental Llc
West Edgewood Dental is an health care organization with primary practice located at 3306 Emerald Ln , Jefferson City MO 65109-6880. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Riyan Dental Llc can be contacted via phone (573) 634-2222, or through Matta, Rajendar via phone (205) 617-7417.

Contact Information

Primary practice address
3306 Emerald Ln Jefferson City MO 65109-6880
Phone: (573) 634-2222
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Matta, Rajendar Doctor of Dental Medicine (DMD)
Phone: (205) 617-7417

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1437810637
LBN Legal business name Riyan Dental Llc
DBA Doing business as West Edgewood Dental
Authorized official Matta, Rajendar Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2022
Last updated Mar 9th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers