Provider Demographics
NPI:1174698666
Name:RIGGS, MICHAEL L (DDS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:L
Last Name:RIGGS
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 1:7586 W JEWELL AVE # 2-303
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-6890
Mailing Address - Country:US
Mailing Address - Phone:720-442-8256
Mailing Address - Fax:
Practice Address - Street 1:7425 W HAMPDEN AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-5171
Practice Address - Country:US
Practice Address - Phone:720-442-8256
Practice Address - Fax:720-442-8246
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2017-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.00202170122300000X
OK5752122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200049790AMedicaid
CO1174698666Medicaid