Dr. Van Keith Riley
Dental Public Health
1454 Madison Ave W
Immokalee
, Florida 34142-2200
Dr. Van Keith Riley
Dental Public Health
1454 Madison Ave W
Immokalee
, Florida 34142-2200
(239) 262-1939
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. Van Keith Riley
- 330 Hawser Ln
- Naples, FL
- Zip : 34102-5031
- Fax : (239) 262-1939
- Phone : (239) 262-5309
Second Address
- Dr. Van Keith Riley
- 1454 Madison Ave W
- Immokalee, FL
- Zip : 34142-2200
- Fax : (239) 658-3050
- Phone : (239) 658-3198
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | D04687 | FL |
National Provider Identifier
| NPI | 1083617484 |
|---|---|
| Provider Name | Dr. Van Keith Riley |
| First Address | Naples, FL 34102-5031 |
| Second Address | Immokalee, FL 34142-2200 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| AR4954194 | DEA NUMBER (01) | FL |
| D04687 | DENTAL LICENSE (01) | FL |
| T84595 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.