Healthcare Provider Details

I. General information

NPI: 1699623488
Provider Name (Legal Business Name): RILEY DAVID HILL DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8125 HIGHWAY 789
LANDER WY
82520-2926
US

IV. Provider business mailing address

966 HOBSON ST
LANDER WY
82520-2032
US

V. Phone/Fax

Practice location:
  • Phone: 307-332-3181
  • Fax:
Mailing address:
  • Phone: 307-272-6020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number1727
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: