Individual
DR. RILEY THOMAS CRISMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1201 N STONEWALL AVE RM 253, OKLAHOMA CITY, OK 73117-1214
(405) 271-7020
Mailing address
1405 WESTCHESTER DR, OKLAHOMA CITY, OK 73120-1428
(918) 706-3965
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8024
OK
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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