Dr. Michael Brent Riley Jr., DMD
Dentist in Lynchburg, VA. Individual provider (NPI-1).
NPI number1518190800
StatusActive
Last updated in NPPESMay 20, 2021
Details
- NPI
- 1518190800
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Brent Riley Jr.
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 2, 2009
- Certification date
- May 20, 2021
- Last updated
- May 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 0401413862 | VA | Yes |
| 122300000X | Dentist | DN013968 | GA |
Practice location
3709 Old Forest RdLynchburg, VA 24501-6902
Phone 434-385-7707 · Fax 434-385-0738
Mailing address
3709 Old Forest RdLynchburg, VA 24501-6902
Phone 434-665-1430 · Fax 434-385-0738
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