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MARK A RIESE DDS PC
NPI 1538858501
Clinic/Center - Dental in Monticello, IN

Active since May 04, 2023
401 W BROADWAY ST, MONTICELLO, IN 47960(574) 583-5042 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Dental

About MARK A RIESE DDS PC

This page provides the complete NPI Profile along with additional information for Mark A Riese Dds Pc, a provider established in Monticello, Indiana operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1538858501 assigned on May 2023. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mark A Riese Dds (Dentist/owner)

NPI
1538858501 Verify this NPI
Provider Name
MARK A RIESE DDS PC
Entity Type
Organization
Location Address
401 W BROADWAY ST MONTICELLO, IN 47960
Location Phone
(574) 583-5042
Mailing Address
401 W BROADWAY ST MONTICELLO, IN 47960
Mailing Phone
(574) 583-5042
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-04-2023
Last Update Date
05-04-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARK A RIESE DDS

Authorized Official Title
DENTIST/OWNER
Authorized Official Phone
(574) 583-5042

Reviews for MARK A RIESE DDS PC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

BRANDON NGUYEN DDS
Dentist
401 W BROADWAY ST
MONTICELLO, IN 47960
White County (574) 583-5042

Frequently Asked Questions

What is MARK A RIESE DDS PC's NPI number?

The NPI number assigned to this healthcare provider is 1538858501, enumerated as an "organization" on May 04, 2023.

Where is the provider located?

The provider is located at 401 W BROADWAY ST MONTICELLO, IN 47960 and the phone number is (574) 583-5042.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.