Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr Riley PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1639792450

Dr Riley PC is an Oral and Maxillofacial Surgery (Dentist) in Jackson, Wyoming. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1325 S Hwy 89 Apt 105
Jackson, WY 83001-8293
Phone: (307) 201-5668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1639792450
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Riley Hicks — Dental Specialist/ Owner · (307) 201-5668
NPI enumeratedMay 27, 2020
Last updated in NPPESMay 27, 2020
Certification dateMay 27, 2020
Mailing addressPo Box 11606, Jackson, WY 83002-1606

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