DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK J RIDENOUR, DDS

Active

DR. MARK J RIDENOUR, DDS is a Oral & Maxillofacial Surgery healthcare provider located in OSHKOSH, Wisconsin. NPI 1265630636 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · OSHKOSH, WI

Registration Details

NPI Number
1265630636
Provider Type
Individual
Gender
Male
NPI Issued
Jul 6, 2007 (19.133637104134 yrs)
Last Updated
Jul 5, 2011
License
6044-15 (WI)

Practice Information

Address
1875 W POINTE DR
OSHKOSH, WI, 549024174
Browse WI providers · Browse ZIP 54902
Phone
9202314600
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X

Other Oral & Maxillofacial Surgery Providers in OSHKOSH, WI

Name Credential NPI
CHRISTOPHER S. MCFARLANE D.D.S. 1043266927
MICHAEL W. MCFARLANE D.D.S. 1295782555
DR. JERAD ALFRED SERVAIS DDS 1306337670
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.