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

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X6044-15 (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.

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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.