MEDICARE: JACOB RIDER DDS LLC

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	:	1316779432
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JACOB RIDER DDS LLC

Provider Business Mailing Address
First Line	:	702 CEDAR PL
Second Line	:
City	:	VENTURA
State	:	CA
Zip	:	93001-1920
Country	:	US
Telephone Number	:	317-457-0338
Fax Number	:

Provider Business Practice Location Address
First Line	:	2437 HARBOR BLVD
Second Line	:
City	:	VENTURA
State	:	CA
Zip	:	93001-3904
Country	:	US
Telephone Number	:	805-804-5590
Fax Number	:

Authorized Official
Title or Position	:	OWNER DENTIST
Name	:	JACOB RIDER
Credential	:
Telephone Number	:	317-457-0338

Provider Enumeration Date	:	08/16/2024
Last Update Date	:	08/16/2024

Similar Medicare Providers

1083643001 — VONS COMPANIES INC
Practice Location Address:

2433 HARBOR BLVD
VENTURA, CA
93001-3904

Practice Phone: 805-642-7811
Practice Fax: 805-642-2459

1417121278 — CLAIRE DOROTIK MFT
Practice Location Address:

2419 HARBOR BLVD # 152
VENTURA, CA
93001-3904

Practice Phone: 805-766-0379
Practice Fax:

1891096053 — DR. JOSEPH GEORGE YERED PHARMD
Practice Location Address:

2433 HARBOR BLVD
VENTURA, CA
93001-3904

Practice Phone: 805-642-7811
Practice Fax:

1467717546 — DR. JACOB RYAN RIDER D.D.S.
Practice Location Address:

2437 HARBOR BLVD
VENTURA, CA
93001-3904

Practice Phone: 805-804-5590
Practice Fax:

1427302199 — DR. FRANK C WOOD PHARMD
Practice Location Address:

2433 HARBOR BLVD
VENTURA, CA
93001-3904

Practice Phone: 805-642-7811
Practice Fax: 805-642-2459

1629680590 — KERRI WU PHARMD
Practice Location Address:

2433 HARBOR BLVD
VENTURA, CA
93001-3904

Practice Phone: 916-667-2857
Practice Fax:

Directions to “JACOB RIDER DDS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.