MEDICARE: DR. KAITLIN MARIE RIOUX DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	28319	FL

General Provider Information

NPI Number	:	1295414928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAITLIN MARIE RIOUX DMD

Provider Business Mailing Address
First Line	:	1740 NW 2ND ST APT 7109
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33444-1682
Country	:	US
Telephone Number	:	941-457-0480
Fax Number	:

Provider Business Practice Location Address
First Line	:	1730 N UNIVERSITY DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6029
Country	:	US
Telephone Number	:	954-345-2264
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2023
Last Update Date	:	04/19/2026

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