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RJ RINGROSE DDS INC NPI 1033238837


NPI Information

NPI: 1033238837
Provider Name: RJ RINGROSE DDS INC

Doing Business As: LAKESHORE DENTAL PRACTICE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
15322 LAKESHORE DRIVE
SUITE 104
CLEARLAKE, CA
ZIP 95422
Phone: (707) 994-6050
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RJ RINGROSE DDS INC is a general practice dentist in Clearlake, CA. The provider is 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. RJ RINGROSE DDS INC NPI is 1033238837. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lakeshore Dental Practice.

The provider's business location address is:

15322 LAKESHORE DRIVE
SUITE 104
CLEARLAKE, CA
ZIP 95422
Phone: (707) 994-6050
Fax: (707) 994-8049

The provider's authorized official is Richard J Ringrose .
The authorized official title is President Owner and has the following contact phone number (707) 994-6050.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice23237CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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