River Willow Dental Center LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RIVER WILLOW DENTAL CENTER LLC

Practice address

2 Wainwright St Ste 210
Washington, MO 63090

Phone

(636) 392-6797

Fax

(636) 392-6792

NPI assigned

Mar 13, 2025

Organization subpart

No

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

Authorized official

Name

Martin Brunworth, DDSNPI 1730619453

Title

Owner Dentist

Phone

(636) 392-6797

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Martin Winter Brunworth, DDS

  • General Practice Dentistry
  • Washington, MO
  • NPI 1730619453
  NPD Authorized official

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1427857127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WAINWRIGHT ST STE 210",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "63090",
            "telephone_number": "636-392-6797",
            "fax_number": "636-392-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WAINWRIGHT ST STE 210",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "63090",
            "telephone_number": "636-392-6797",
            "fax_number": "636-392-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER WILLOW DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "BRUNWORTH",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "636-392-6797",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500154903",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bret Allen Riegel, M.D.
• Rieser Family Dental, L.L.C.
• Andrew Raymond Rieser, DMD
• Connie C Rieser, DDS
• River Sirens Collective
• Riverfront Therapy LLC
• Madison Kay Roberts
• Katelyn Elizabeth Robles, M.S., CF-SLP
• Roger Walkenhorst D.D.S.
• Kelly Marie Rogers

• General Practice Dentistry in Washington, MO
• Providers in Washington, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.