Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ADAM RIDGEWAY, DDS
ActiveDR. ADAM RIDGEWAY, DDS is a Pediatric Dentistry healthcare provider located in LAKE ELMO, Minnesota. NPI 1992937577 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · LAKE ELMO, MN
Registration Details
- NPI Number
- 1992937577
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 17, 2009 (17.019803930096 yrs)
- Last Updated
- Dec 3, 2020
- License
-
D12744 (MN)
Practice Information
- Address
-
8650 HUDSON BLVD N STE 105LAKE ELMO, MN, 550428416Browse MN providers · Browse ZIP 55042
- Phone
- 6517603681
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
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.