Individual provider · Type 1 NPI
Adam Ridgeway, DDS
Pediatric Dentistry · Lake Elmo, MN
NPI number
1992937577
Active
Practice location
8650 Hudson Blvd N Ste 105
Lake Elmo, MN 55042-8416
Mailing address
2200 County Road C W Ste 2210
Roseville, MN 55113-2551
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | D12744 (MN) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3 other providers at this address
About NPI 1992937577
Adam Ridgeway, DDS's National Provider Identifier is 1992937577, issued on Aug 17, 2009. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Lake Elmo, MN. The record was last updated on Dec 3, 2020.