| Ld Riggs Pllc | |
|
1025 E Vandament Ave 300 Yukon OK 73099-4910 | |
| (405) 354-1861 | |
| Not Available |
| Full Name | Ld Riggs Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1025 E Vandament Ave, Yukon, Oklahoma |
| Authorized Official Name and Position | Loren Doug Riggs (DENTIST) |
| Authorized Official Contact | 4053541861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ld Riggs Pllc 1025 E Vandament Ave 300 Yukon OK 73099-4910 Ph: (405) 354-1861 | Ld Riggs Pllc 1025 E Vandament Ave 300 Yukon OK 73099-4910 Ph: (405) 354-1861 |
| NPI Number | 1831434281 |
|---|---|
| Provider Enumeration Date | 12/11/2012 |
| Last Update Date | 12/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831434281 | NPI | - | NPPES |
| 200036020B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5724 (Oklahoma) | Primary |
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