RIDGEVIEW DENTAL GROUP SC NPI 1437236536

NPI Information

  • NPI: 1437236536
  • Provider Name: RIDGEVIEW DENTAL GROUP SC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: W178 N9201 WATER TOWER PLACE
    SUITE 100
    MENOMONEE FALLS, WI
    ZIP 53051
  • Phone: (262) 251-8704

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NPI Details

RIDGEVIEW DENTAL GROUP SC is a general practice dentist in Menomonee Falls, WI. The provider is 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. RIDGEVIEW DENTAL GROUP SC NPI is 1437236536. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

W178 N9201 WATER TOWER PLACE
SUITE 100
MENOMONEE FALLS, WI
ZIP 53051
Phone: (262) 251-8704
Fax: (262) 251-8341

The provider's authorized official is Matthew Thomas Pruhs .
The authorized official title is Owner/partner and has the following contact phone number (262) 251-5355.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 3/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentistNo
21223G0001XDentistGeneral Practice0004063WISCONSINNo
31223P0221XDentistPediatric DentistryNo
41223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
51223G0001XDentistGeneral Practice5334015WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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