Provider Demographics
NPI:1932838349
Name:RIBADIYA, NIRAV (DMD)
Entity Type:Individual
Prefix:DR
First Name:NIRAV
Middle Name:
Last Name:RIBADIYA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 WEEKS PARK LN APT 264
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76308-3244
Mailing Address - Country:US
Mailing Address - Phone:616-264-5984
Mailing Address - Fax:
Practice Address - Street 1:4109 HILLCREST PLZ
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:TX
Practice Address - Zip Code:76384-3267
Practice Address - Country:US
Practice Address - Phone:940-552-2269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-09
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38584122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist