Healthcare Provider Details

I. General information

NPI: 1730235409
Provider Name (Legal Business Name): ABEL L RIOJAS DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

228 W 1ST ST
PORT ANGELES WA
98362-2639
US

IV. Provider business mailing address

PO BOX 34703
SEATTLE WA
98124-1703
US

V. Phone/Fax

Practice location:
  • Phone: 360-406-5260
  • Fax: 360-406-5275
Mailing address:
  • Phone: 206-764-0112
  • Fax: 206-764-0489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDE00010763
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDE00010763
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: