Tim Rieke Dds Llc in Jefferson City - General Practice

Tim Rieke Dds Llc - NPI 1295917110

Tim Rieke Dds Llc is a General Practice in Jefferson City, Missouri. Tim Rieke Dds Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Tim Rieke Dds Llc is 1295917110. The last update date is 2007-12-03.

Tim Rieke Dds Llc's current location address is 1312 Southwest Blvd, Jefferson City, Missouri. You can contact this provider via phone number 5736343115 and fax number 5736342381. The mailing address for Tim Rieke Dds Llc is 1312 Southwest Blvd, Jefferson City, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Tim Rieke Dds Llc
Address 1312 Southwest Blvd, Jefferson City, Missouri
Phone Number 5736343115
Fax Number 5736342381
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEMBER
Authorized Official Name Rieke J Tim
Credentials DDS
Telephone Number 5736343115

NPI Number Detail

NPI Number 1295917110
Provider Enumeration Date 2007-12-03
Last Updated Date 2007-12-03

Provider Mailing Address Detail

Address 1312 Southwest Blvd
City Jefferson City
State Missouri (MO)
Post Code 65109
Phone Number 5736343115
Fax Number 5736342381

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 13681
Definition:
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.

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FAQs about Tim Rieke Dds Llc

What is the unique 10-digit identification code issued to Tim Rieke Dds Llc by the Centers for Medicare & Medicaid Services?

The Tim Rieke Dds Llc has been assigned the NPI (National Provider Identifier) 1295917110 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Tim Rieke Dds Llc?

The Tim Rieke Dds Llc is situated at 1312 Southwest Blvd, in the city of Jefferson City, state of MO, with the zip code 65109.

What is the area of specialization for Tim Rieke Dds Llc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Tim Rieke Dds Llc is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did the Tim Rieke Dds Llc receive the assignment of its 1295917110 from the Centers for Medicare & Medicaid Services?

The Tim Rieke Dds Llc was issued its 1295917110 by the Centers for Medicare & Medicaid Services on 2007-12-03.

When was the information regarding Tim Rieke Dds Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Tim Rieke Dds Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-12-03.

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