Healthcare Provider Details

I. General information

NPI: 1306700919
Provider Name (Legal Business Name): VINCENT RIGGIO DDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11870 GRAVOIS RD
SAINT LOUIS MO
63127-1800
US

IV. Provider business mailing address

9321 LAMAR AVE
OVERLAND PARK KS
66207-2468
US

V. Phone/Fax

Practice location:
  • Phone: 314-852-7140
  • Fax:
Mailing address:
  • Phone: 314-852-7140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VINCENT NICHOLAS RIGGIO
Title or Position: DENTIST-OWNER
Credential: DDS
Phone: 314-852-7140