RIVER RIDGE ORAL & MAXILLOFACIAL SURGICAL CENTER (NPI# 1376522714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376522714 |
| Entity Type | Organization |
| Organization Name | RIVER RIDGE ORAL & MAXILLOFACIAL SURGICAL CENTER |
| Other Organization Name | RIVER RIDGE ORAL & MAXILLOFACIAL SURGICAL CENTER |
| Practice Address |
1700 S Southeastern Ave Sioux Falls SD 57103-3227 |
| Practice Telephone | 6053315059 |
| Practice Fax Number | 6052756725 |
| Mailing Telephone | 6053315059 |
| Mailing Fax Number | 6052756725 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2008-02-20 |
| Authorized Official Name | LINDA K CHRISTENSEN (BUSINESS MANAGER) |
| Authorized Official Telephone | 6053315059 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
NO # | SD | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | HEALTH PARTNERSPRACTICE # | 104737 | 01 |
| Other Name | Type Code |
|---|---|
| River Ridge Oral & Maxillofacial Surgical Center | Doing Business As Name - Organization |
| Street Address |
1700 S SOUTHEASTERN AVE |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57103-3227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588083711 | Trevor Holleman | Dentist | 1700 S Southeastern Ave, Sioux Falls, SD 57103 | 2014-04-15 |
| 1205815370 | Robert D Hille | Dentist | 1700 S Southeastern Ave, Sioux Falls, SD 57103-3227 | 2006-01-17 |
| 1750360004 | Andrew C Hille | Dentist | 1700 S Southeastern Ave, Sioux Falls, SD 57103-3227 | 2006-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972072858 | Tasha Leigh Vanrooyen | Massage Therapist | 3400 Southeastern Avenue, Sioux Falls, SD 57103 | 2018-11-20 |
| 1407377328 | Minnehaha Health Supplies | Durable Medical Equipment & Medical Supplies | Sioux Falls - Cna Building, 101 South Reid Street, Suite 307, Sioux Falls, SD 57103 | 2017-06-30 |
| 1811378771 | African Community Center of Sioux Falls | Non-emergency Medical Transport (VAN) | 1515 East 10th Street, Sioux Falls, SD 57103 | 2015-06-16 |
| 1033596861 | Raichatou Ann Jackson | Clinical Nurse Specialist | 4308 Est 9th St, Sioux Falls, SD 57103 | 2015-04-30 |
| 1538551668 | Wendy Jo Kranzler | Occupational Therapist | 4500 Prince of Peace, Sioux Falls, SD 57103 | 2015-02-26 |
| 1932477205 | Alpha Sigma Health Group, Inc. | Home Health | 2804 East 26th Street, Lower Level, Sioux Falls, SD 57103 | 2011-12-01 |
| 1629207089 | Andrea R Tuley | Registered Nurse | 1312 E. 11th Street, Sioux Falls, SD 57103 | 2009-07-07 |
| 1891920054 | Great Plains Chiropractic & Wellness LLC | Chiropractor | 3233 S. Sycamore Ave., Sioux Falls, SD 57103 | 2009-05-18 |
| 1841430162 | Martin Frank Petereit | Radiology | 1600 E. Cedar Lane, Retired Radiologist, Sioux Falls, SD 57103 | 2009-02-26 |
| 1255518619 | Mobile Sonographers Inc | Spec/Tech, Cardiovascular | 2307 E Harriet Lea St, Sioux Falls, SD 57103 | 2008-01-29 |
| Find all providers in zip 57103 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821118480 | Brent Jason Henriksen | Dentist | 1700 S. Southeastern Ave., River Ridge Oral and Maxillofacial Surgical Center, Sioux Falls, SD 57103 | 2007-03-29 |
| 1649241407 | Harvey A Akerson | Dentist | 6401 S Minnesota Ave, Sioux Falls, SD 57108-2504 | 2006-01-30 |
| 1487639316 | Bruce Evan Partnoy | Dentist | 5200 S Cliff Ave, Suite 102, Sioux Falls, SD 57108 | 2005-12-14 |
| 1588083711 | Trevor Holleman | Dentist | 1700 S Southeastern Ave, Sioux Falls, SD 57103 | 2014-04-15 |
| 1861692949 | Louis Theodore George | Dentist | 6401 S Minnesota Ave, Sioux Falls, SD 57108-2504 | 2007-07-18 |
| 1144421645 | Dr. Bruce Partnoy Dds, PC | Dentist | 5200 S Cliff Ave, Suite 102, Sioux Falls, SD 57108-5436 | 2007-05-30 |
| 1790757011 | Siouxland Oral Surgery | Dentist | 6401 S Minnesota Ave, Sioux Falls, SD 57108-2504 | 2006-02-02 |
| 1821069253 | Denis Miller | Dentist | 6401 S Minnesota Ave, Sioux Falls, SD 57108-2504 | 2006-02-01 |
| 1780655530 | Raymon P Grewal | Dentist | 6401 S Minnesota Ave, Sioux Falls, SD 57108-2504 | 2006-01-30 |
| 1205815370 | Robert D Hille | Dentist | 1700 S Southeastern Ave, Sioux Falls, SD 57103-3227 | 2006-01-17 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57103 |
Please comment or provide details below to improve the information on RIVER RIDGE ORAL & MAXILLOFACIAL SURGICAL CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.