River Rock Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RIVER ROCK DENTAL

Doing business as

River Rock Dental

Practice address

5323 Raven Pkwy
Monroe, MI 48161-3716

Phone

(734) 243-6282

NPI assigned

Apr 11, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Neil Manczak, DDSNPI 1497700991

Title

Owner

Phone

(734) 243-6282

Specialties & licenses 1

Addresses

Other names 1

• River Rock Dental Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neil C Manczak, D.D.S.

  • General Practice Dentistry
  • Lansing, MI
  • NPI 1497700991
  NPD Authorized official
• Martin Allen Drozdowicz, D.D.S.

  • General Practice Dentistry
  • Monroe, MI
  • NPI 1881711513
  NPD (past)
• Donald Jeffrey Kiss, D.D.S.

  • General Practice Dentistry
  • Monroe, MI
  • NPI 1437276144
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1063154060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 RAVEN PKWY",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481613716",
            "telephone_number": "734-243-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 RAVEN PKWY",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481613716",
            "telephone_number": "734-243-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER ROCK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "MANCZAK",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-243-6282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Rock Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashleigh Riggs
• Right at Home of Southeastern Michigan, Inc. (Right at Home)
• Andrea R Rinker, DPM
• Meredith Marie Rinna, LISW-SUPV
• Kristy Eilers Rivard, LPC
• Jason Roberto, PA-C, ATC
• Michelle Lee Roberts
• Trent Anthony Roberts, DO
• Nicholle Robinson
• Jeannette Rodenbeck, RN

• Dental Clinic/Center in Monroe, MI
• Providers in Monroe, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.