Riddle, Charles G

Riddle, Charles G is an individual health care provider with primary practice located at 415 Main St , Summersville WV 26651-1343. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Riddle, Charles G can be contacted via phone (304) 872-1663.

Contact Information

Primary practice address
415 Main St Summersville WV 26651-1343
Phone: (304) 872-1663
Fax: (304) 872-1804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X WV2960 West Virginia

Profile Details

NPI number 1346353125
LBN Legal business name Riddle, Charles G
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Jun 18th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346353125 NPPES
West Virginia MEDICAID 0133133000

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