Provider Demographics
NPI:1578606471
Name:RIOPELLE, GARTH BYRON (DDS)
Entity Type:Individual
Prefix:DR
First Name:GARTH
Middle Name:BYRON
Last Name:RIOPELLE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 MARKET PL
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-4746
Mailing Address - Country:US
Mailing Address - Phone:925-277-0299
Mailing Address - Fax:925-277-0766
Practice Address - Street 1:417 MARKET PL
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-4746
Practice Address - Country:US
Practice Address - Phone:925-277-0299
Practice Address - Fax:925-277-0766
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice