Provider Demographics
NPI:1407063225
Name:RIEGEL, NED IRVIN (DDS,MS)
Entity Type:Individual
Prefix:DR
First Name:NED
Middle Name:IRVIN
Last Name:RIEGEL
Suffix:
Gender:M
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 NORTHRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CIRCLEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43113-1127
Mailing Address - Country:US
Mailing Address - Phone:740-474-8405
Mailing Address - Fax:740-477-3165
Practice Address - Street 1:630 NORTHRIDGE RD
Practice Address - Street 2:
Practice Address - City:CIRCLEVILLE
Practice Address - State:OH
Practice Address - Zip Code:43113-1127
Practice Address - Country:US
Practice Address - Phone:740-474-8405
Practice Address - Fax:740-477-3165
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-01-55131223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics