Individual
DR. DANIEL E RIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
3915 MAINE ST, SUITE 3, QUINCY, IL 62305-5843
(217) 222-9434
(217) 222-0671
Mailing address
4309 BUNKER DR, QUINCY, IL 62305-6200
(217) 228-8458
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
021-001826
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019023491
—
IL
Enumeration date
10/18/2006
Last updated
02/08/2018
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