Provider Demographics
NPI:1649849464
Name:LUKE RILEY AND COMPANY PLLC
Entity type:Organization
Organization Name:LUKE RILEY AND COMPANY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:817-439-8393
Mailing Address - Street 1:295 FM 156 S STE 200
Mailing Address - Street 2:
Mailing Address - City:HASLET
Mailing Address - State:TX
Mailing Address - Zip Code:76052-3012
Mailing Address - Country:US
Mailing Address - Phone:817-439-8393
Mailing Address - Fax:817-439-8348
Practice Address - Street 1:295 FM 156 S STE 200
Practice Address - Street 2:
Practice Address - City:HASLET
Practice Address - State:TX
Practice Address - Zip Code:76052-3012
Practice Address - Country:US
Practice Address - Phone:817-439-8393
Practice Address - Fax:817-439-8348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-24
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental