Individual
TERRANCE P RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5345 SPRING ST, DAVENPORT, IA 52807-2764
(319) 337-2599
(319) 545-2020
Mailing address
2441 CORAL CT STE 2, CORALVILLE, IA 52241-2872
(319) 337-2599
(319) 337-2599
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
08390
IA
1223G0001X
General Practice Dentistry
08390
IA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
08390
IA
1223X2210X
Orofacial Pain Dentistry
08390
IA
Other
Enumeration date
03/13/2007
Last updated
11/01/2021
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