DR. KENNETH THOMAS RISO


Address: 1857 N Military Trl, West Palm Beach, FL 33409-4715
Phone: 5616837699

DR. KENNETH THOMAS RISO (NPI# 1568513802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568513802
Entity Type Individual
Full Name DR. KENNETH THOMAS RISO
Credential DMD
Practice Address 1857 N Military Trl
West Palm Beach
FL 33409-4715
Mailing Address 951 Broken Sound Pkwy Nw
Suite 185
Boca Raton
FL 33487-3507
Practice Telephone 5616837699
Mailing Telephone 5619999650
Enumeration Date 2007-01-15
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
DN6971 FL Dental Providers

Office Location

Street Address 1857 N MILITARY TRL
City WEST PALM BEACH
State FL
Zip Code 33409-4715

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528165651 Avi Schetritt Dentist 1857 N Military Trl, West Palm Beach, FL 33409-4715 2006-09-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154928000 Gerard Joseph Valerius Jr. Behavior Technician 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 2020-10-05
1295342277 Stela Karkatselos Nurse Practitioner 2700 Palm Beach Lakes Blvd., West Palm Beach, FL 33409 2020-09-24
1831703974 Daylin Gonzalez Behavior Technician 1818 S.australian Ave, Suite 420, West Palm Beach, FL 33409 2020-09-05
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1750911285 Denisse Ramirez Technician, Other 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 2020-01-23
1558915009 Hess Massage and Fitness LLC. Massage Therapist 2090 Palm Beach Lakes Blvd #900, West Palm Beach, FL 33409 2019-08-01
1184195638 Tyrone Woods Developmental Therapist 4287 Lake Lucerne Circle, West Palm Beach, FL 33409 2018-12-10
1700352119 Julio Cesar Lugo Sr. Counselor 4100 Bear Lakes Ct. Building 14, Apt. #108, West Palm Beach, FL 33409 2018-10-23
1073009353 Kaitlyn Rose Green Physician Assistant 560 Village Blvd Suite #150, West Palm Beach, FL 33409 2018-07-10
1063901247 Dominique J Carn Technician, Other 42000 Community Dr, Apt 2211, West Palm Beach, FL 33409 2018-05-03
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Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134781610 Annika Marschall Dmd Pa Dentist 2425 Presidential Way Apt 1805, West Palm Beach, FL 33401-1321 2019-07-03
1790889269 Julie Ann Kennedy Dentist 1501 Presidential Way Ste 18, West Palm Beach, FL 33401-1852 2006-09-12
1144332701 Dental Center At Forest Hill, Pa Dentist 3027 Forest Hill Blvd, Suite A-3, West Palm Beach, FL 33406 2006-08-31
1033224399 Group Dental of The Palm Beaches Inc. Dentist 2601 N Flagler Dr Ste 101, West Palm Beach, FL 33407-5542 2006-08-20
1083629141 Endodontic Associates of The Palm Beaches, P.a Dentist 1501 Presidential Way Ste 7, West Palm Beach, FL 33401-1852 2006-07-29
1972545432 Michael Brandon Elliott Dentist 321 8th St, West Palm Beach, FL 33401-3309 2006-06-11
1346457850 Melvin Boner Dentist 1309 S Flagler Dr, West Palm Beach, FL 33401-6736 2007-05-16
1205967171 Sang Y Shin Dentist 1501 Presidential Way, Ste #7, West Palm Beach, FL 33401-1800 2007-03-09
1720119639 Rory E Mortman Dentist 1501 Presidential Way, Ste #7, West Palm Beach, FL 33401-1800 2007-03-09
1790816882 Sunghee Ahn Dentist 1501 Presidential Way, Ste #7, West Palm Beach, FL 33401-1800 2007-03-08
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City WEST PALM BEACH
Zip Code 33409

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Dataset Information

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.

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