Provider Demographics
NPI:1912266693
Name:RIGGS, ENRIQUE A (DDS)
Entity Type:Individual
Prefix:DR
First Name:ENRIQUE
Middle Name:A
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 1:40 WEST 135TH STREET
Mailing Address - Street 2:STE 1E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037-2530
Mailing Address - Country:US
Mailing Address - Phone:212-281-5500
Mailing Address - Fax:212-281-5501
Practice Address - Street 1:40 WEST 135TH STREET
Practice Address - Street 2:STE 1E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-2530
Practice Address - Country:US
Practice Address - Phone:212-281-5500
Practice Address - Fax:212-281-5501
Is Sole Proprietor?:No
Enumeration Date:2012-05-15
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0354021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice