Individual
RYAN HEDIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
520 N 12TH ST, RICHMOND, VA 23298-5064
(804) 828-9190
Mailing address
404 1/2 S LAUREL ST, RICHMOND, VA 23220-6233
(970) 214-9412
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
34529
TX
1223E0200X
Endodontics
Primary
D11980
OR
1223G0001X
General Practice Dentistry
Primary
0401417830
VA
1223G0001X
General Practice Dentistry
34529
TX
Other
Enumeration date
08/16/2018
Last updated
05/23/2026
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