IndividualActive
Craig Ririe, D.D.S. M.S.D.
NPI 1457568891 · Periodontics · Provo, UT
Provider details
- NPI number
- 1457568891
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.D.S. M.S.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 23082 (CA)
Specialties & taxonomies
Dental Providers
Practice location
3610 N. University Ave.
150
Provo, UT 84604
Phone: (801) 356-2226
Approximate (ZIP-level) locationGet directions
Mailing address
3610 N University Ave
Provo, UT 84604-4437
Registry dates
- Enumerated
- 2007-05-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.