MEDICARE: ALEXANDER D RIEL DDS PLLC

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1295609105
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALEXANDER D RIEL DDS PLLC

Provider Business Mailing Address
First Line	:	2509 PARK ST
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-2724
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3739 MT BAKER HWY
Second Line	:
City	:	EVERSON
State	:	WA
Zip	:	98247-9406
Country	:	US
Telephone Number	:	360-592-1100
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	ALEXANDER RIEL
Credential	:	DDS
Telephone Number	:	509-994-0734

Provider Enumeration Date	:	10/02/2025
Last Update Date	:	10/02/2025

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