Provider Demographics
NPI:1013135854
Name:RIGGS, DALE ALLEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:DALE
Middle Name:ALLEN
Last Name:RIGGS
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 1:1179 COLUMBUS PIKE
Mailing Address - Street 2:STATE ROUTE 23
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-2713
Mailing Address - Country:US
Mailing Address - Phone:740-362-2202
Mailing Address - Fax:740-362-2204
Practice Address - Street 1:1179 COLUMBUS PIKE
Practice Address - Street 2:STATE ROUTE 23
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-2713
Practice Address - Country:US
Practice Address - Phone:740-362-2202
Practice Address - Fax:740-362-2204
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2009-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30. 021949122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist