Provider Demographics
NPI:1992895254
Name:KRUEGER, RIGA W (DDS)
Entity type:Individual
Prefix:DR
First Name:RIGA
Middle Name:W
Last Name:KRUEGER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:939 COLDSPRING DR
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48167-1081
Mailing Address - Country:US
Mailing Address - Phone:248-348-1768
Mailing Address - Fax:
Practice Address - Street 1:2906 LEWIS AVE
Practice Address - Street 2:
Practice Address - City:IDA
Practice Address - State:MI
Practice Address - Zip Code:48140-9598
Practice Address - Country:US
Practice Address - Phone:734-268-3615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901011829122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist