ENRICO J RIDEAU DDS
NPI 1194920363
Dentist - General Practice in Gardena, CA

Active since June 18, 2007
14240 S VERMONT AVE, GARDENA, CA 90247(310) 515-5511(310) 515-5159 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Enrico J Rideau Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENRICO J RIDEAU DDS (NPI 1194920363) is an individual general practice provider in Gardena, California, licensed in California (31690) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1194920363
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameENRICO J RIDEAUCredential: DDS
Location Address14240 S VERMONT AVEGardena, CA 90247-2208
Mailing Address14240 S Vermont AveGardena, CA 90247-2208 · (310) 515-5511 · Fax (310) 515-5159
Fax(310) 515-5159
Sole ProprietorNo
Enumeration DateJune 18, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1194920363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 31690
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

14240 S VERMONT AVE, Gardena, CA 90247

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
14240 S VERMONT AVE
GARDENA, CA 90247
Dentist
14240 S VERMONT AVE
GARDENA, CA 90247

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194920363, enumerated as an "individual" on June 18, 2007.

The provider is located at 14240 S VERMONT AVE GARDENA, CA 90247 and the phone number is (310) 515-5511.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.