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Contact Information

RIECK A BEIERSDORF, DDS
62 SOUTH PLEASANT VIEW ROAD
PLYMOUTH, WI53073-4954
 Phone: 920-892-8466
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for RIECK A BEIERSDORF · (Male)

NPI # 1013085760
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/01/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 5998
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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