Individual provider · Type 1 NPI
Mark J. Ridenour, DDS
Oral and Maxillofacial Surgery (Dentist) · Oshkosh, WI
NPI number
1265630636
Active
Practice location
1875 W Pointe Dr
Oshkosh, WI 54902-4174
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 6044-15 (WI) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Oshkosh
About NPI 1265630636
Mark J. Ridenour, DDS's National Provider Identifier is 1265630636, issued on Jul 6, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Oshkosh, WI. The record was last updated on Jul 5, 2011.