Mark S. Riederer, D.D.S.

General Practice Dentistry · Juneau, AK

Individual Active NPI

NPI number 1366465882

Practice location

9309 Glacier Hwy
B-105
Juneau, AK 99801-9306
Phone
(907) 789-3100
Fax
(907) 789-3119

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NPI record

NPI
1366465882
Entity type
Individual (Type 1)
Enumeration date
July 25, 2006
Last updated
July 9, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X AA651 AK

About Dr. Riederer

Mark S. Riederer, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 9309 Glacier Hwy, B-105, Juneau, AK 99801-9306. The NPI number 1366465882 was assigned on July 25, 2006 and the record was last updated on July 9, 2007.

Dr. Riederer lists a license in the registry: #AA651 (AK) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark S. Riederer, D.D.S.?

The NPI number is 1366465882.

What is the phone number of Dr. Riederer?

The phone number listed for the practice location is (907) 789-3100.

Where is Dr. Riederer located?

9309 Glacier Hwy, B-105, Juneau, AK 99801-9306.

What is the taxonomy code for Dr. Riederer?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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