Tim Rieke DDS LLC
NPI #1295917110 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1295917110
- Entity Type
- Organization
- Organization Name
- Tim Rieke DDS LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- TIM RIEKE DDS LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 3, 2007
- Last Updated
- Dec 3, 2007
Practice Location
- Address
- 1312 SOUTHWEST BLVD
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65109
- Phone
- (573) 634-3115
Authorized Official
- Name
- DR. TIM J RIEKE, DDS
- Title
- MEMBER
- Phone
- (573) 634-3115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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