# TERRANCE P RILEY DDS PC

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

## Provider details

- **NPI number:** 1841300688
- **Authorized official:** MR. TERRANCE PATRICK RILEY DDS (DENTIST OWNER)
- **Authorized official phone:** (319) 331-1716

## Contact information

- **Practice address:** 5345 SPRING ST, DAVENPORT, IA 52807-2764
- **Practice address phone:** (319) 337-2599
- **Practice address fax:** (319) 337-7948
- **Mailing address:** 2441 CORAL CT STE 2, IOWA CITY, IA 52241-2872
- **Mailing address phone:** (319) 337-2599
- **Mailing address fax:** (319) 337-7948

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | S137 | CO | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |
| 1223X2210X | Orofacial Pain Dentistry | — | NULL | — |
| 1223X2210X | Orofacial Pain Dentistry | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 11/01/2021