KEITH RUTER LLC DBA RIVERSIDE DENTAL (NPI# 1750640439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750640439 |
| Entity Type | Organization |
| Organization Name | KEITH RUTER LLC DBA RIVERSIDE DENTAL |
| Practice Address |
401 Main St Savanna IL 61074-1535 |
| Practice Telephone | 8152732212 |
| Practice Fax Number | 8152731081 |
| Mailing Telephone | 8152732212 |
| Mailing Fax Number | 8152731081 |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2013-10-29 |
| Authorized Official Name | DR. KEITH R RUTER (OWNER) |
| Authorized Official Telephone | 8159382566 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019019570 | IL | Dental Providers |
| Street Address |
401 MAIN ST |
| City | SAVANNA |
| State | IL |
| Zip Code | 61074-1535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073667184 | Riverside Dental, PC | Dentist | 401 Main St, Savanna, IL 61074-1535 | 2007-01-23 |
| 1164580734 | Scott Christian Bares | Dentist | 401 Main St, Savanna, IL 61074 | 2006-12-05 |
| 1447258355 | William J Tonne | Dentist | 401 Main St, Savanna, IL 61074-1535 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184676967 | Robert Lee Simmons | Optometrist | 333 Chicago Avenue, Savanna, IL 61074 | 2006-05-17 |
| 1962491142 | Richard Joseph Keppler | Nurse Anesthetist, Certified Registered | 11508 Hwy 52, Savanna, IL 61074 | 2005-10-19 |
| 1790751287 | Tis Challenging Speech | Clinic/Center | 1706 Superior Ave, Savanna, IL 61074 | 2006-02-24 |
| 1629116462 | Tiffany Ming Kao | Chiropractor | 202 Main St, Savanna, IL 61074-1628 | 2007-02-02 |
| 1346332681 | Randall Morthland | Chiropractor | 202 Main St, Savanna, IL 61074-1628 | 2006-09-28 |
| 1790768620 | Tom M Kao Dc PC | Chiropractor | 202 Main St, Savanna, IL 61074-1628 | 2005-11-23 |
| 1770936825 | The Answer Physical Therapy & Medically Integrated Fitness, LLC | Clinic/Center | 319 Main St Ste B, Savanna, IL 61074-1629 | 2016-07-13 |
| 1679698963 | John Thomas Voelz | Physical Therapist | 319 Main St, Ste B, Savanna, IL 61074-1629 | 2007-03-19 |
| 1932128014 | Big Meadows, Inc. | Nursing Facility/Intermediate Care Facility | 1000 Longmoor Ave, Savanna, IL 61074-1640 | 2006-07-19 |
| 1528519329 | Big Meadows Inc | Durable Medical Equipment & Medical Supplies | 1000 Longmoor Ave, Savanna, IL 61074-1640 | 2016-10-18 |
| Find all providers in zip 61074 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073667184 | Riverside Dental, PC | Dentist | 401 Main St, Savanna, IL 61074-1535 | 2007-01-23 |
| 1447258355 | William J Tonne | Dentist | 401 Main St, Savanna, IL 61074-1535 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425230 | Sundeep Franklin Dmd & Daiana Capota Dmd Pllc | Dentist | 320 N Mclean Blvd Ste B, Elgin, IL 60123-3220 | 2020-10-20 |
| 1801403555 | Stephanie Elizabeth Miller | Dentist | 2220 Sisters Ave, Naperville, IL 60564-4394 | 2020-09-27 |
| 1417564121 | Gursimran Reen, Dmd LLC | Dentist | 29 S Webster St Ste 108, Naperville, IL 60540-5353 | 2020-09-26 |
| 1285240531 | Summit Dental Center LLC | Dentist | 7710 W 62nd Pl, Summit, IL 60501-1702 | 2020-09-22 |
| 1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
| 1932713583 | Kevin G Reardon | Dentist | 479 S Spring Rd, Elmhurst, IL 60126-3857 | 2020-09-01 |
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1548870884 | Daniel Patrick Jurgens | Dentist | 2 N Country Club Rd Ste 2, Decatur, IL 62521-4174 | 2020-08-02 |
| 1184233934 | Shawna Jade Dudovitz | Dentist | 309 Tamarack Ln, Shiloh, IL 62269-2993 | 2020-07-28 |
| 1417565748 | Robert Hails | Dentist | 3540 N Belt W Ste B, Belleville, IL 62226-5975 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.