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Dr. Adam Ridgeway, DDS
Pediatric Dentist in Lake Elmo, Minnesota
NPI 1992937577

Adam Ridgeway is a Pediatric Dentist based in Roseville, MN and is specialized in Pediatric Dentistry. Adam Ridgeway practices in Lake Elmo, MN and has the professional credentials of DDS. The NPI Number for Adam Ridgeway is 1992937577 and holds a License No. D12744 (Minnesota).

The current practice location address for Adam Ridgeway is 8650 Hudson Blvd N Ste 105, Lake Elmo, MN and can be reached out via phone at 651-760-3681.

Location: 8650 Hudson Blvd N Ste 105, Lake Elmo, MN, 55113-2551
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992937577
Provider Name
Adam Ridgeway
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
8650 Hudson Blvd N Ste 105, Lake Elmo, MN, 55113-2551
Phone Number
651-760-3681
Fax Number
Provider Enumeration Date
08/17/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8650 Hudson Blvd N Ste 105
City
Lake Elmo
State
Minnesota
Zip
55042-8416
Phone Number
651-760-3681
Fax Number
person
Provider Business Mailing Address Details
Address
8650 Hudson Blvd N Ste 105
City
Lake Elmo
State
Minnesota
Zip
55042-8416
Phone Number
651-760-3681
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
D12744 (Minnesota)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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