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Active NPI 1114364593 Individual Practitioner Male Practitioner

Dr. Michael Ryan Rediske , DDS

Dentist - General Practice • Wpafb, OH

Professional Overview & Biography Verified Profile Summary

Dr. Michael Rediske, DDS is a registered healthcare professional specializing in Dentist - General Practice in Wpafb, OH. Practice services are available at 4881 SUGAR MAPLE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4881 Sugar Maple Dr

Wpafb, OH 454335529

Telephone 6164436546
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Wpafb, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
9 Specialists

Practicing in Wpafb, OH (4287 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 MI 2901020918

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
John Arthur

Internal Medicine

NPI 1003557661
Kendra Schmuck , RD LD

Dietitian, Registered

NPI 1003852310

RDLD

Dr. Katelyn Marilao , MD

Emergency Medicine

NPI 1013603810

Doctor of Medicine (M.D.)

NPI 1023275971

Doctor of Medicine (M.D.)

NPI 1023758463

Doctor of Medicine (M.D.)

Dr. Alexander Cahoon , DO

Student in an Organized Health Care Education/Training Program

NPI 1023868080

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address September 05, 2019

Registered at 300 TUSKEGEE BLVD, DOVER AFB, DE 199025003 (Tel: 3026772077)

NPI Profile Active May 27, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 27, 2013

Registered at 4881 SUGAR MAPLE DR, WPAFB, OH 454335529 (Tel: 6164436546)

📍
Updated Business Mailing Address May 27, 2013

Registered at 4881 SUGAR MAPLE DR, WPAFB, OH 454335529 (Tel: 6164436546)

👤
Provider Name / Credentials Updated May 27, 2013

Recorded as MICHAEL REDISKE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2013

Dentist (License #2901020918 in MI)

🟢
Initial NPI Registration & Enumeration May 27, 2013

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: 1114364593
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2013
Last Update: September 05, 2019
Sole Proprietor: No

Mailing Address

300 Tuskegee Blvd

Dover Afb, DE 199025003

Phone: 3026772077

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.