Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962131227 Individual Practitioner Male Practitioner

Dr. Jacob Riddle , DDS

Dentist - General Practice • Memphis, TN

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Riddle, DDS is a registered healthcare professional specializing in Dentist - General Practice in Memphis, TN. Practice services are available at 5366 ESTATE OFFICE DR STE 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5366 Estate Office Dr Ste 2

Memphis, TN 381190611

Telephone 9016821501
Associated Practice Facility / Clinic
🏢 Riddle Dental Arts Facility NPI 1477254738

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Memphis, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
236 Specialists

Practicing in Memphis, TN (2175 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-08-08
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TN 11900

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist

NUCC Taxonomy Code: 122300000X

State License AR 4634

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Type 1
1962131227

Secondary Practice Locations

715 Calvin Avery Dr

West Memphis, AR 723016501

Phone: 8707353601

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1033223839

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2022

Dentist (License #4634 in AR)

NPI Profile Active June 09, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 09, 2022

Registered at 5366 ESTATE OFFICE DR STE 2, MEMPHIS, TN 381190611 (Tel: 9016821501)

📍
Updated Business Mailing Address June 09, 2022

Registered at 5366 ESTATE OFFICE DR STE 2, MEMPHIS, TN 381190611 (Tel: 9016821501)

👤
Provider Name / Credentials Updated June 09, 2022

Recorded as JACOB RIDDLE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2022

Dentist (License #11900 in TN)

🟢
Initial NPI Registration & Enumeration June 09, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962131227
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2022
Last Update: August 08, 2022
Sole Proprietor: No

Mailing Address

5366 Estate Office Dr Ste 2

Memphis, TN 381190611

Phone: 9016821501

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.