# JACLYN RIDDER DDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cumberland Pointe Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407324551
- **Authorized official:** JACLYN KRISTINE RIDDER DDS (DENTIST)
- **Authorized official phone:** (317) 418-1342

## Contact information

- **Practice address:** 15887 CUMBERLAND RD STE 104, NOBLESVILLE, IN 46060-4332
- **Practice address phone:** (317) 770-4783
- **Mailing address:** 15540 BRACKENWOOD CT, NOBLESVILLE, IN 46062-6704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 11/07/2018
- **Last updated:** 11/07/2018