Organization
RONALD K. RISINGER, DDS, MS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL F NELSON DDS (VICE PRESIDENT)
(409) 751-2010
Entity
Organization
Contact information
Practice address
228A COUNTRY LANE DR, SUITE B, LUMBERTON, TX 77657
(409) 751-2010
Mailing address
228A COUNTRY LANE DR, SUITE B, LUMBERTON, TX 77657
(409) 751-2010
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15661
DENTAL LICENSE
TX
01
—
26028
DENTAL LICENSE
TX
Enumeration date
09/14/2016
Last updated
01/23/2025
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