NPI 1295917110

Tim Rieke DDS LLC

Organisation General Practice Dentistry Jefferson City, MO

Practice location

Address: 1312 Southwest Blvd, Jefferson City, MO 65109
Phone: (573) 634-3115
Fax: (573) 634-2381

Authorised official

Name: Tim J Rieke
Title: Member
Phone: (573) 634-3115

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 013681 (MO)

Other Dentist providers in Missouri →

Registry record

NPI: 1295917110
Entity type: Organization
NPI issued: 3 Dec 2007
Record last updated: 3 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.