Riga W Krueger, D.D.S.
Individual provider Active NPI Dentist · Ida, MI
NPI 1992895254 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992895254
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2901011829 (MI)
- Practice address
- 2906 Lewis Ave
Ida, MI 48140-9598 - Phone
- (734) 268-3615
- NPI assigned
- Oct 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901011829 | MI | Yes |
Addresses
Primary practice location
2906 Lewis Ave
Ida, MI 48140-9598
Mailing address
939 Coldspring Dr
Northville, MI 48167-1081
Phone (248) 348-1768
Other providers in Ida, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.