Provider Demographics
NPI:1871607838
Name:RIDINGS, ALBERT BEN (DDS)
Entity type:Individual
Prefix:
First Name:ALBERT
Middle Name:BEN
Last Name:RIDINGS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 W HURON ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48381-2240
Mailing Address - Country:US
Mailing Address - Phone:248-684-8665
Mailing Address - Fax:
Practice Address - Street 1:335 W HURON ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MI
Practice Address - Zip Code:48381-2240
Practice Address - Country:US
Practice Address - Phone:248-684-8665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010089591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice