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DR RILEY PC
NPI 1639792450
Dentist - Oral and Maxillofacial Surgery in Jackson, WY

Active since May 27, 2020
1325 S HWY 89 APT 105, JACKSON, WY 83001(307) 201-5668 Get Directions Write a Review

NPPES record last updated: May 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr Riley Pc NPPES

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

DR RILEY PC (NPI 1639792450) is a healthcare organization registered as an oral and maxillofacial surgery in Jackson, Wyoming and active in the NPI registry since May 2020. The organization lists Riley Jared Hicks, Dental Specialist/ Owner, as its authorized official.

NPPES Registry Identity

NPI1639792450
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameDR RILEY PC
Location Address1325 S HWY 89 APT 105Jackson, WY 83001-8293
Mailing AddressPo Box 11606Jackson, WY 83002-1606
Phone(307) 201-5668
Organization SubpartNo
Authorized OfficialRiley Jared HicksDental Specialist/ Owner · (307) 201-5668
Enumeration DateMay 27, 2020
NPPES CertifiedMay 27, 2020
✔ NPI 1639792450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1325 S HWY 89 APT 105, Jackson, WY 83001
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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

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 Dr Riley PC's NPI number?

The NPI number for Dr Riley PC is 1639792450. It was assigned to this organization in the NPPES registry on May 27, 2020.

Where is Dr Riley PC located?

Dr Riley PC is located at 1325 S Hwy 89 Apt 105, Jackson, WY 83001. The listed phone number is (307) 201-5668.

What is Dr Riley PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Dr Riley PC was last updated on May 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.