Bruce E Ringdahl Llc in Columbia - Periodontics
Bruce E Ringdahl Llc - NPI 1407967003
Bruce E Ringdahl Llc is a Periodontics in Columbia, Missouri. Bruce E Ringdahl Llc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Bruce E Ringdahl Llc is 1407967003. The last update date is 2020-08-22.
Bruce E Ringdahl Llc's current location address is 201 W Broadway, Columbia, Missouri. You can contact this provider via phone number 5734431618. The mailing address for Bruce E Ringdahl Llc is 201 W Broadway, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Bruce E Ringdahl Llc |
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Address | 201 W Broadway, Columbia, Missouri |
Phone Number | 5734431618 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Ringdahl Bruce |
Telephone Number | 5734431618 |
NPI Number Detail
NPI Number | 1407967003 |
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Provider Enumeration Date | 2006-08-31 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 201 W Broadway |
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City | Columbia |
State | Missouri (MO) |
Post Code | 652033842 |
Phone Number | 5734431618 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Periodontics |
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Taxonomy | 1223P0300X |
Licence No | 15061 |
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the Bruce E Ringdahl Llc's 1407967003?
The Bruce E Ringdahl Llc's NPI (National Provider Identifier) Number is 1407967003. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Bruce E Ringdahl Llc?
The Bruce E Ringdahl Llc is physically situated at 201 W Broadway, in the city of Columbia, state of MO, with the postal code 652033842.
What is the area of specialization for Bruce E Ringdahl Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bruce E Ringdahl Llc is Periodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0300X.
On what date did the Bruce E Ringdahl Llc receive its 1407967003 assignment from the Centers for Medicare & Medicaid Services?
The Bruce E Ringdahl Llc was assigned its 1407967003 by the Centers for Medicare & Medicaid Services on 2006-08-31.
As of what date were the details pertaining to Bruce E Ringdahl Llc last refreshed?
The information related to the Bruce E Ringdahl Llc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.