# RIVER RIDGE ORAL & MAXILLOFACIAL SURGICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** River Ridge Oral & Maxillofacial Surgical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376522714
- **Authorized official:** LINDA K CHRISTENSEN (BUSINESS MANAGER)
- **Authorized official phone:** (605) 331-5059

## Contact information

- **Practice address:** 1700 S SOUTHEASTERN AVE, SIOUX FALLS, SD 57103-3227
- **Practice address phone:** (605) 331-5059
- **Practice address fax:** (605) 275-6725
- **Mailing address:** 1700 S SOUTHEASTERN AVE, SIOUX FALLS, SD 57103-3227
- **Mailing address phone:** (605) 331-5059
- **Mailing address fax:** (605) 275-6725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | NO \# | SD | Yes |

## Other

- **Enumeration date:** 01/13/2006
- **Last updated:** 02/20/2008
