Provider Demographics
NPI:1629234935
Name:RILEY, CAROLYN FRANCES (DDS)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:FRANCES
Last Name:RILEY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13905-4218
Mailing Address - Country:US
Mailing Address - Phone:607-724-1389
Mailing Address - Fax:697-724-6468
Practice Address - Street 1:151 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13905-4218
Practice Address - Country:US
Practice Address - Phone:607-724-1389
Practice Address - Fax:607-724-6468
Is Sole Proprietor?:No
Enumeration Date:2008-08-06
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0540131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice