Provider Demographics
NPI:1578241006
Name:RIGA W KRUEGER DDS
Entity Type:Organization
Organization Name:RIGA W KRUEGER DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RIGA
Authorized Official - Middle Name:W
Authorized Official - Last Name:KRUEGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-921-0091
Mailing Address - Street 1:47599 ABERDEEN DR
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374-3691
Mailing Address - Country:US
Mailing Address - Phone:248-921-0091
Mailing Address - Fax:
Practice Address - Street 1:3691 INDIAN LAKE RD
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:MI
Practice Address - Zip Code:48748-9641
Practice Address - Country:US
Practice Address - Phone:734-269-3615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty