Organization
THOMAS E RIDER DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS EDWARD RIDER DDS (OWNER)
(828) 495-8256
Entity
Organization
Contact information
Practice address
1231 SHILOH CHURCH ROAD, HICKORY, NC 28601
(828) 495-8256
Mailing address
PO BOX 6035, HICKORY, NC 28603-6035
(828) 495-8256
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5978
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8997391
—
NC
Enumeration date
08/05/2007
Last updated
07/22/2008
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