Individual provider · Type 1 NPI
Nicholas R. Ridder, DDS, MS
Orthodontics and Dentofacial Orthopedics Dentistry · Fort Worth, TX
Practice location
12453 Timberland Blvd Ste 101
Fort Worth, TX 76244-5209
Mailing address
12453 Timberland Blvd, #101
Keller, TX 76248-1208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 21809 (TX) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1699809624
Nicholas R. Ridder, DDS, MS's National Provider Identifier is 1699809624, issued on Mar 14, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Fort Worth, TX. The record was last updated on May 8, 2025.