RIVERSIDE DENTAL CARE LLC
NPI 1104603513
Dentist - General Practice in Little Chute, WI

Active since September 11, 2023
1805 E MAIN ST, LITTLE CHUTE, WI 54140(303) 994-1456 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Riverside Dental Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERSIDE DENTAL CARE LLC (NPI 1104603513) is a healthcare organization registered as a general practice in Little Chute, Wisconsin and active in the NPI registry since September 2023. The organization lists Elese Mcclarie, Dentist, as its authorized official.

NPPES Registry Identity

NPI1104603513
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRIVERSIDE DENTAL CARE LLC
Location Address1805 E MAIN STLittle Chute, WI 54140-2455
Mailing Address1805 E Main StLittle Chute, WI 54140-2455 · (920) 423-9131 · Fax (920) 423-9132
Organization SubpartNo
Authorized OfficialElese McclarieDentist · (303) 994-1456
Enumeration DateSeptember 11, 2023
Last NPPES UpdateFebruary 11, 2025
NPPES CertifiedFebruary 11, 2025
NPI 1104603513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1805 E MAIN ST, Little Chute, WI 54140

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1805 E MAIN ST
LITTLE CHUTE, WI 54140

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riverside Dental Care LLC's NPI number?

The NPI number for Riverside Dental Care LLC is 1104603513. It was assigned to this organization in the NPPES registry on September 11, 2023.

Where is Riverside Dental Care LLC located?

Riverside Dental Care LLC is located at 1805 E Main St, Little Chute, WI 54140. The listed phone number is (303) 994-1456.

What is Riverside Dental Care LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Riverside Dental Care LLC accept?

Health plans from UnitedHealthcare list Riverside Dental Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Riverside Dental Care LLC was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.