Taylor Ridenour, DDS is a
Dentist - General Practice based in Spiro, Oklahoma. Taylor Ridenour is licensed to practice in Oklahoma (license number 7878) and his current practice location is
318 W Broadway St, Spiro, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(918) 962-2466.
NPI number for Taylor Ridenour is 1669217683 and his current mailing address is 19428 Mize Ln, Spiro, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669217683.
Healthcare Provider's Profile
| Full Name | Taylor Ridenour |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 318 W Broadway St, Spiro, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1669217683
- Provider Enumeration Date: 07/01/2024
- Last Update Date: 07/01/2024
Medical Identifiers
Medical identifiers for Taylor Ridenour such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669217683 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 7878 (Oklahoma) | 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. Taylor Ridenour 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 |
|---|
Taylor Ridenour, DDS
19428 Mize Ln,
Spiro, OK 74959-4342
Ph: (479) 462-5233 | Taylor Ridenour, DDS
318 W Broadway St,
Spiro, OK 74959-2422
Ph: (918) 962-2466 |
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