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NPI 1386472207

IndividualActive

Andrew Riddle, DMD

NPI 1386472207 · Dentist · Newberg, OR

Provider details

NPI number: 1386472207
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DMD
Sex: Male
Sole proprietor: Yes
License: D12054 (OR)

Practice location

710 E Foothills Dr Ste 710a

Newberg, OR 97132-6124

Phone: (503) 379-0574

More OR providers

Mailing address

18051 Sw Lower Boones Ferry Rd Apt 215

Tigard, OR 97224-7275

Registry dates

Enumerated: 2024-07-23
Last updated: 2024-07-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Andrew Riddle, DMD — NPI 1386472207, Newberg, OR | NPI Central