Individual provider · Type 1 NPI

Samrah Riaz

General Practice Dentistry · Manitowoc, WI

NPI number 1790593580 Active

Practice location

2719 Calumet Ave
Manitowoc, WI 54220-5546

Mailing address

1801 Burr Oak Ct
Waukesha, WI 53189-8400

Other practice locations

  • 3450 Lacey Rd, Downers Grove, IL 60515-5430 · (630) 743-4500

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Dentistry Primary 1223G0001X6001852-15 (WI)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

13 other providers at this address

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About NPI 1790593580

Samrah Riaz's National Provider Identifier is 1790593580, issued on Dec 25, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Manitowoc, WI. The record was last updated on Jul 16, 2025.