Dr. Thomas Warren Riley, D.M.D.
Dentist, General Practice in Springfield, IL. Individual provider (NPI-1).
NPI number1700935251
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1700935251
- Entity type
- Individual (NPI-1)
- Name
- Dr. Thomas Warren Riley
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019-015732 | IL | Yes |
Practice location
2908 Greenbriar DrSuite C
Springfield, IL 62704-7432
Phone 217-787-3727 · Fax 217-787-9175
Mailing address
2908 Greenbriar DrSuite C
Springfield, IL 62704-7432
Phone 217-787-3727 · Fax 217-787-9175
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