NPI 1023129624

Bruce Edward Ringdahl, DDS

Practitioner Periodontics Columbia, MO

Practice location

Address: 201 W Broadway, Columbia, MO 65203-3842
Phone: (573) 443-1618

Registered specialties

Periodontics Primary

Dental Providers Taxonomy 1223P0300X Licence 015061 (MO)

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Registry record

NPI: 1023129624
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Aug 2006
Record last updated: 8 Jul 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.