Tim Rieke Dds Llc

NPI 1295917110 - Dentist - 1223G0001X

NPI Details
NPI 1295917110
Enumeration Date 12/03/2007
Last Updated 12/03/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TIM J TIM
Position MEMBER
Phone (573) 634-3115
Fax (573) 634-2381
Practice Location
1312 SOUTHWEST BLVD
JEFFERSON CITY MO, 65109, US
Phone (573) 634-3115
Fax (573) 634-2381
Business Location
1312 SOUTHWEST BLVD
JEFFERSON CITY MO, 65109, US
Phone (573) 634-3115
Fax (573) 634-2381
Toxanomy
Taxonomy Code 1223G0001X
License State Missouri
License Number 013681
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According to our database, Tim Rieke Dds Llc NPI is 1295917110, taxonomy code is 1223G0001X and license number is 013681, license state is located at Missouri. Tim Rieke Dds Llc physically located at 1312 Southwest Blvd, Jefferson City MO, 65109. NPI Number 1033115704 has the healthcare provider type.

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1295917110 NPI number is provided on an as is basis without warranty of any kind. 1295917110 is maintained by the National Plan & Provider Enumeration System. The contents of Tim Rieke Dds Llc are for informational purposes only.