Provider Demographics
NPI:1578547717
Name:RIHA, FRANK J IV (DDS)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:J
Last Name:RIHA
Suffix:IV
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 616
Mailing Address - Street 2:
Mailing Address - City:VALLEY
Mailing Address - State:NE
Mailing Address - Zip Code:68064-0616
Mailing Address - Country:US
Mailing Address - Phone:402-359-2226
Mailing Address - Fax:
Practice Address - Street 1:121 W 2ND ST
Practice Address - Street 2:
Practice Address - City:VALLEY
Practice Address - State:NE
Practice Address - Zip Code:68064-7227
Practice Address - Country:US
Practice Address - Phone:402-359-2226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-01
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE65351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47071268402Medicaid
NE5398OtherBCBS PROVIDER ID