Paul Riddle DDS LLC

NPI #1750101705 in Ottawa, Kansas

Provider Information

NPI Number: 1750101705
Entity Type: Organization
Organization Name: Paul Riddle DDS LLC
Primary Specialty: Dentist
Enumeration Date: Oct 15, 2024
Last Updated: Feb 20, 2025

Practice Location

Address: 1334 S MAIN ST
City: Ottawa
State: Kansas
ZIP Code: 66067-3527
Phone: (785) 242-5753

Authorized Official

Name: DR. RUFUS PAUL RIDDLE, DDS
Title: OWNER
Phone: (479) 651-8298

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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