DR. WILLIAM RACKLIFF RISSER (NPI# 1760568349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760568349 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM RACKLIFF RISSER |
| Credential | DMD |
| Practice Address |
182 Wilson St Brewer ME 04412 |
| Practice Telephone | 2079891952 |
| Practice Fax Number | 2079891956 |
| Mailing Telephone | 2079891952 |
| Mailing Fax Number | 2079891956 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2973 | ME | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA LICENSE NUMBER | AR2398647 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326076704 | William L Risser | Pediatrics | 6410 Fannin St, 500, Houston, TX 77030-3000 | 2006-06-28 |
| Street Address |
182 WILSON ST |
| City | BREWER |
| State | ME |
| Zip Code | 04412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861944779 | Nicole Cividanes Dmd Pllc | Dentist | 182 Wilson St, Brewer, ME 04412-2028 | 2016-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205326899 | Kolby Arnold | Physical Therapist | 277 State St., Brewer, ME 04412 | 2018-05-18 |
| 1215434477 | Kelley Anne Hill | Counselor | 17 Houston Lane, Brewer, ME 04412 | 2018-04-12 |
| 1497250740 | Northeast Dental Partners, Pa | Dentist | 24 Dirigo Drive, Brewer, ME 04412 | 2018-03-28 |
| 1821549445 | Jenelle Hazzard | Nurse Practitioner | 735 Wilson St., Brewer, ME 04412 | 2016-10-19 |
| 1154877520 | Gentle Hands Home Care | Home Health | 153 State St Suite 5, Brewer, ME 04412 | 2016-08-26 |
| 1932459708 | Danielle M Kissinger | Physical Medicine & Rehabilitation | 227 State St, Brewer, ME 04412 | 2012-09-19 |
| 1750658738 | Todd James Hachey | Pharmacist | 437 Wilson St., Walgreens 11545, Brewer, ME 04412 | 2011-11-19 |
| 1407154107 | Judy Anderson | Speech-Language Pathologist | 79 Parkway South, Pupil Services Office, Brewer, ME 04412 | 2011-03-03 |
| 1487898508 | Elizabeth A Morse | Technician/Technologist | 272 State Street, Optical Outlet, LLC, Brewer, ME 04412 | 2009-04-21 |
| 1396902359 | Mindy J Smith | Occupational Therapy Assistant | 74 Parkway South, Brewer, ME 04412 | 2008-05-19 |
| Find all providers in zip 04412 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497250740 | Northeast Dental Partners, Pa | Dentist | 24 Dirigo Drive, Brewer, ME 04412 | 2018-03-28 |
| 1639386279 | Rand Dentistry, LLC | Dentist | 373 Wilson St, Brewer, ME 04412-1560 | 2007-05-16 |
| 1477661312 | Craig B. Rand | Dentist | 5 S Main St Ste 200, Brewer, ME 04412-2111 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625573 | Alexander Jacob Tyburski | Dentist | 327 North Avenue, Skowhegan, ME 04976 | 2020-06-30 |
| 1124644950 | Robert Thibeault Brookings | Dentist | 39 Grove Street, Bangor, ME 04401-5309 | 2020-06-17 |
| 1811529522 | Wagner Auguste Dental Pllc | Dentist | 206 High St Ste D, Ellsworth, ME 04605-1741 | 2020-02-11 |
| 1912537739 | Center for Advanced Dentistry of Yarmouth | Dentist | 45 Forest Falls Dr Ste B3, Yarmouth, ME 04096-6999 | 2020-01-21 |
| 1548822596 | Eric L Bolduc | Dentist | 206 High St, Ellsworth, ME 04605-1741 | 2019-06-30 |
| 1033778246 | Alex Boucher | Dentist | 309 Saint Thomas St Ste 213, Madawaska, ME 04756-1278 | 2019-06-11 |
| 1659939098 | Valerie Anne Lariviere | Dentist | 813b Main St, Waterboro, ME 04087-3006 | 2019-05-31 |
| 1427611144 | S & S Dental Group | Dentist | 2 Livewell Dr Apt 105, Kennebunk, ME 04043-6763 | 2019-04-18 |
| 1477030815 | Benjamin William Manter | Dentist | 57 Silver St Apt 4, Waterville, ME 04901-6515 | 2018-07-27 |
| 1386138394 | Robert Grant Belanger II | Dentist | 681 Augusta Rd, Belmont, ME 04952-3023 | 2018-06-22 |
| Find all providers with the same taxonomy | ||||
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| 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.