JESSICA RAU RILEY (NPI# 1700300142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700300142 |
| Entity Type | Individual |
| Full Name | JESSICA RAU RILEY |
| Credential | DMD |
| Practice Address |
1971 N Main St Summerville SC 29486-7820 |
| Mailing Address |
744 Gate Post Dr Mount Pleasant SC 29464-4948 |
| Practice Telephone | 8433715886 |
| Mailing Telephone | 4802427712 |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2018-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8998 | SC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497164479 | Jessica Riley | Specialist | 1913 Meadowbrook Rd, Bridgeport, WV 26330-7076 | 2014-08-04 |
| 1548677438 | Jessica Ann Riley | Dermatology | 1300 Avenida Vista Hermosa Ste 150, San Clemente, CA 92673 | 2014-07-13 |
| 1194375725 | Jessica Riley | Behavior Technician | 34475 Mound Rd, Sterling Heights, MI 48310-5761 | 2019-09-16 |
| 1881192011 | Jessica D Riley | Psychologist | 6000 W Highway 98, Pensacola, FL 32512-0001 | 2018-01-23 |
| 1174052179 | Jessica Riley | Case Manager/Care Coordinator | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2017-06-05 |
| 1922540038 | Jessica Riley | Behavioral Analyst | 229 N Sheldon Rd, Plymouth, MI 48170 | 2016-11-07 |
| 1821462946 | Jessica Riley | Registered Nurse | 1525 Plumas Ct, Yuba City, CA 95991-2971 | 2015-12-01 |
| 1780072231 | Jessica Riley | Case Manager/Care Coordinator | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2015-01-07 |
| 1427370071 | Jessica Lee Riley | Registered Nurse | 1 Childrens Way, Slot 900, Little Rock, AR 72202-3500 | 2010-02-24 |
| 1871769943 | Jessica Lenai Riley | Emergency Medicine | 1001 S George St, York, PA 17403-3676 | 2008-05-07 |
| Street Address |
1971 N MAIN ST |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29486-7820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063579829 | A. Frederick Solomon Dmd P.a. | Dentist | 1971 N Main St, Summerville, SC 29483 | 2007-01-02 |
| 1891355079 | Sabrina Elizabeth Saunders | Dentist | 1971 N Main St, Summerville, SC 29486-7890 | 2019-06-19 |
| 1124688718 | Erica Nicole Mueller | Dentist | 1971 N Main St, Summerville, SC 29486-7890 | 2019-06-17 |
| 1396229514 | Brandon Scott Wishnow | Dentist | 1971 N Main St, Summerville, SC 29486-7820 | 2018-09-24 |
| 1528411790 | Mccall Rupp | Dentist | 1971 N Main St, Summerville, SC 29486-7820 | 2016-07-22 |
| 1841672193 | Bryn Michael Allen | Dentist | 1971 N Main St, Summerville, SC 29483-7820 | 2015-06-23 |
| 1508271529 | Lawrence Robert Fischer Jr. | Dentist | 1971 N Main St, Summerville, SC 29483-7820 | 2014-06-27 |
| 1295099091 | Brad Duncan Peper | Dentist | 1971 N Main St, Summerville, SC 29483-7820 | 2012-06-27 |
| 1811193576 | Jason Eric Solomon | Dentist | 1971 N Main St, Summerville, SC 29483-7820 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921454 | Cooper River Pediatric Therapy LLC | Speech-Language Pathologist | 119 Callibluff Dr, Summerville, SC 29486 | 2020-04-24 |
| 1750928164 | Tidewater Eyecare, LLC | Optometrist | 301 Front St., Summerville, SC 29486 | 2019-12-04 |
| 1366086621 | Tgd-summerville LLC | Dentist | 604-a Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1336783604 | Tdsp-summerville LLC | Dentist | 604-b Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1699256081 | Denise Michelle Richardson | Speech-Language Pathologist | 201 School House Ln, Summerville, SC 29486 | 2018-08-24 |
| 1497243588 | Charleston Ent Associates, LLC | Non-Pharmacy Dispensing Site | 2205 2nd Avenue, Summerville, SC 29486 | 2018-04-25 |
| 1043707557 | Seaside Family Medicine, LLC | Nurse Practitioner | 1341 College Park Rd # A, Summerville, SC 29486 | 2018-04-19 |
| 1023511144 | Grace Physical Therapy and Sports Rehab At Nexton | Clinic/Center | 5500 Front St, Suite 201, Summerville, SC 29486 | 2018-03-15 |
| 1295253086 | Dillon Robert Gregory | Specialist/Technologist | 313 Springdale Ct., Summerville, SC 29486 | 2017-09-01 |
| 1013456987 | Sfd Kids LLC | Dentist | 108 Parish Farms Drive, Summerville, SC 29486 | 2017-02-13 |
| Find all providers in zip 29486 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366086621 | Tgd-summerville LLC | Dentist | 604-a Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1336783604 | Tdsp-summerville LLC | Dentist | 604-b Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1720552524 | Sfd Knightsville LLC | Dentist | 487 W Butternut Rd, Summerville, SC 29483-5568 | 2019-01-15 |
| 1144762576 | Sfd Carnes LLC | Dentist | 110 Parish Farms Dr, Summerville, SC 29486-0409 | 2016-11-16 |
| 1619320116 | James Reed Williamson | Dentist | 502 N Pine St, Summerville, SC 29483-6555 | 2016-07-20 |
| 1487036794 | Seastone Dental | Dentist | 953 Orangeburg Rd, Ste B, Summerville, SC 29483-8941 | 2015-06-23 |
| 1235523887 | Melissa Owen | Dentist | 604a Nexton Square Dr, Summerville, SC 29486-7914 | 2015-03-21 |
| 1932406147 | Hubert Eric Heiden | Dentist | 2039 North Main Street, Summerville, SC 29483 | 2011-02-24 |
| 1780898353 | John M Corella | Dentist | 100 Harth Place, Summerville, SC 29485 | 2007-05-10 |
| 1902028269 | William Thomas Miller | Dentist | 502 North Pine Street, Summerville, SC 29483 | 2007-05-03 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 29486 |
Please comment or provide details below to improve the information on JESSICA RAU RILEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.