DR. GARY LYNN RIDDLE DDS
NPI 1942361365
Dentist - General Practice in Scott City, MO

Active since December 12, 2006
1420 MAIN ST, SCOTT CITY, MO 63780(573) 264-2020(573) 264-2678 Get Directions Write a Review

NPPES record last updated: January 10, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Gary Lynn Riddle Dds NPPES

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

DR. GARY LYNN RIDDLE DDS (NPI 1942361365) is an individual general practice provider in Scott City, Missouri, licensed in Missouri (13773) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1942361365
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GARY LYNN RIDDLECredential: DDS
Location Address1420 MAIN STScott City, MO 63780-1936
Mailing Address1420 Main StScott City, MO 63780-1936 · (573) 264-2020 · Fax (573) 264-2678
Fax(573) 264-2678
Sole ProprietorYes
Enumeration DateDecember 12, 2006
Last NPPES UpdateJanuary 10, 2012
NPI 1942361365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MO · 13773
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.
1420 MAIN ST, Scott City, MO 63780

Other Identifiers 1

Medicaid401916408MO

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 Gary Riddle's NPI number?

The NPI number for Gary Riddle is 1942361365. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Gary Riddle located?

Gary Riddle practices at 1420 Main St, Scott City, MO 63780. The listed phone number is (573) 264-2020.

What is Gary Riddle'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 Gary Riddle was last updated on January 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.