Provider Demographics
NPI:1932934767
Name:RIDLER, BARBARA ANN (DENTAL HYGIENIST)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:RIDLER
Suffix:
Gender:F
Credentials:DENTAL HYGIENIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1384 E WELDONA WAY
Mailing Address - Street 2:
Mailing Address - City:SUPERIOR
Mailing Address - State:CO
Mailing Address - Zip Code:80027-8072
Mailing Address - Country:US
Mailing Address - Phone:970-688-0722
Mailing Address - Fax:
Practice Address - Street 1:1384 E WELDONA WAY
Practice Address - Street 2:
Practice Address - City:SUPERIOR
Practice Address - State:CO
Practice Address - Zip Code:80027-8072
Practice Address - Country:US
Practice Address - Phone:970-688-0722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODH.000201662124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist