Individual
TERRY R RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
105 FOOTHILLS AVENUE, ALBANY, KY 42602
(606) 387-8372
(606) 387-9352
Mailing address
105 FOOTHILLS AVENUE, ALBANY, KY 42602
(606) 387-8372
(606) 387-9352
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5569
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60055696
—
KY
Enumeration date
07/31/2006
Last updated
03/20/2008
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