WEST EDGEWOOD DENTAL
NPI 1437810637
Dentist - General Practice in Jefferson City, MO

Active since January 10, 2022
3306 EMERALD LN, JEFFERSON CITY, MO 65109(573) 634-2222 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 9, 2022, Jan 10, 2022 (2 updates tracked since 2022).

About West Edgewood Dental NPPES

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

WEST EDGEWOOD DENTAL (NPI 1437810637) is a healthcare organization registered as a general practice in Jefferson City, Missouri and active in the NPI registry since January 2022. The organization maintains a secondary practice location in Jefferson City and lists Rajendar Matta, President, as its authorized official.

NPPES Registry Identity

NPI1437810637
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRIYAN DENTAL LLC
Location Address3306 EMERALD LNJefferson City, MO 65109-6880
Mailing Address14031 Willow DrClive, IA 50325-8317 · (205) 617-7417
Organization SubpartNo
Authorized OfficialRajendar MattaPresident · (205) 617-7417
Enumeration DateJanuary 10, 2022
Last NPPES UpdateMarch 9, 20222 updates tracked since enumeration
NPPES CertifiedMarch 9, 2022
NPI 1437810637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
3306 EMERALD LN, Jefferson City, MO 65109

Other Names 1

Doing Business AsWest Edgewood Dental

Secondary Practice Location 1

Location 13306 Emerald LnJefferson City, MO 65109-6880 · Phone (573) 624-2222

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

Dentist (Orthodontics and Dentofacial Orthopedics)
3306 EMERALD LN
JEFFERSON CITY, MO 65109
Dentist
3306 EMERALD LN
JEFFERSON CITY, MO 65109
Dentist
3306 EMERALD LN
JEFFERSON CITY, MO 65109
Dentist (Prosthodontics)
3306 EMERALD LN
JEFFERSON CITY, MO 65109
Dentist (General Practice)
3306 EMERALD LN
JEFFERSON CITY, MO 65109
Dentist
3306 EMERALD LN
JEFFERSON CITY, MO 65109
Dentist (General Practice)
3306 EMERALD LN
JEFFERSON CITY, MO 65109
Dentist
3306 EMERALD LN
JEFFERSON CITY, MO 65109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riyan Dental LLC's NPI number?

The NPI number for Riyan Dental LLC is 1437810637. It was assigned to this organization in the NPPES registry on January 10, 2022. The provider is doing business as West Edgewood Dental.

Where is Riyan Dental LLC located?

Riyan Dental LLC is located at 3306 Emerald Ln, Jefferson City, MO 65109. The listed phone number is (573) 634-2222.

What is Riyan Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Riyan Dental LLC was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.