DR. TERRENCE JOHN RIESCH D.D.S. NPI 1417049743

NPI Information

  • NPI: 1417049743
  • Provider Name: DR. TERRENCE JOHN RIESCH, D.D.S.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • Address: N89W16785 APPLETON AVE
    MENOMONEE FALLS, WI
    ZIP 53051
  • Phone: (262) 253-6588

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NPI Details

DR. Terrence John Riesch, D.D.S. is an oral and maxillofacial surgery dentist in Menomonee Falls, WI. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Terrence John Riesch, D.D.S. NPI is 1417049743. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

N89W16785 APPLETON AVE
MENOMONEE FALLS, WI
ZIP 53051-071
Phone: (262) 253-6588
Fax: (262) 253-6893

The enumeration date for this NPI number is 9/28/2006 and was last updated on 7/8/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery4287WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U61115MEDICARE UPINWISCONSIN

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: 11/21/2025

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