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Active NPI 1366465882 Individual Practitioner Male Practitioner

Dr. Mark S. Riederer , DDS

Dentist - General Practice • Juneau, AK

Professional Overview & Biography Verified Profile Summary

Dr. Mark Riederer, DDS is a registered healthcare professional specializing in Dentist - General Practice in Juneau, AK. Practice services are available at 9309 GLACIER HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9309 Glacier Hwy
B-105

Juneau, AK 998019306

Telephone 9077893100
Fax 9077893119
Associated Practice Facility / Clinic
🏢 John Krehlik, Md, Inc Facility NPI 1659560704

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Juneau, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.0 Yrs
Regional Practice Density
18 Specialists

Practicing in Juneau, AK (346 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AK AA651

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
DD6510 (AK)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Justin Sanbei , DDS

Dentist - General Practice

NPI 1598490823

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 9309 GLACIER HWY, B-105, JUNEAU, AK 998019306 (Tel: 9077893100)

📍
Updated Business Mailing Address July 09, 2007

Registered at 9309 GLACIER HWY, B-105, JUNEAU, AK 998019306 (Tel: 9077893100)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as MARK RIEDERER, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #AA651 in AK)

🟢
Initial NPI Registration & Enumeration July 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366465882
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2006
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

9309 Glacier Hwy, B-105

Juneau, AK 998019306

Phone: 9077893100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.