Dr Gary Lynn Riddle, DDS is a
Dentist - General Practice based in Scott City, Missouri. Dr Gary Lynn Riddle is licensed to practice in Missouri (license number 13773) and his current practice location is
1420 Main St, Scott City, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 264-2020.
NPI number for Dr Gary Lynn Riddle is 1942361365 and his current mailing address is 1420 Main St, Scott City, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942361365.
Healthcare Provider's Profile
Full Name | Dr Gary Lynn Riddle |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 1420 Main St, Scott City, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942361365
- Provider Enumeration Date: 12/12/2006
- Last Update Date: 01/10/2012
Medical Identifiers
Medical identifiers for Dr Gary Lynn Riddle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942361365 | NPI | - | NPPES |
401916408 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 13773 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gary Lynn Riddle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Gary Lynn Riddle, DDS 1420 Main St, Scott City, MO 63780-1936 Ph: (573) 264-2020 | Dr Gary Lynn Riddle, DDS 1420 Main St, Scott City, MO 63780-1936 Ph: (573) 264-2020 |
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