Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144304809 Individual Practitioner Male Practitioner

Dr. Cornal Ridgell , DMD

Dentist - General Practice • Southfield, MI

Professional Overview & Biography Verified Profile Summary

Dr. Cornal Ridgell, DMD is a registered healthcare professional specializing in Dentist - General Practice in Southfield, MI. Practice services are available at 25296 EVERGREEN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

25296 Evergreen Rd

Southfield, MI 480751760

Telephone 2484239393
Fax 2484237893
Associated Practice Facility / Clinic
🏢 Cornal Ridgell Dmd Pc Facility NPI 1568244382

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Southfield, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
74 Specialists

Practicing in Southfield, MI (4360 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

CMS Verified: 2023-10-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 2901015775

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.

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location October 10, 2023

Registered at 25296 EVERGREEN RD, SOUTHFIELD, MI 480751760 (Tel: 2484239393)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 21700 NORTHWESTERN HWY, SUITE 180, SOUTHFIELD, MI 480754906 (Tel: 2484239393)

📍
Updated Business Mailing Address July 08, 2007

Registered at 21700 NORTHWESTERN HWY, SUITE 180, SOUTHFIELD, MI 480754906 (Tel: 2484239393)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CORNAL RIDGELL, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #2901015775 in MI)

🟢
Initial NPI Registration & Enumeration October 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: 1144304809
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2006
Last Update: October 10, 2023
Sole Proprietor: No

Mailing Address

21700 Northwestern Hwy, Suite 180

Southfield, MI 480754906

Phone: 2484239393

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.