# LD RIGGS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831434281
- **Authorized official:** LOREN DOUG RIGGS D.D.S (DENTIST)
- **Authorized official phone:** (405) 354-1861

## Contact information

- **Practice address:** 1025 E VANDAMENT AVE, 300, YUKON, OK 73099-4910
- **Practice address phone:** (405) 354-1861
- **Mailing address:** 1025 E VANDAMENT AVE, 300, YUKON, OK 73099-4910
- **Mailing address phone:** (405) 354-1861

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5724 | OK | Yes |

## Other

- **Enumeration date:** 12/11/2012
- **Last updated:** 12/11/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200036020B | — | OK |