Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053406132 Individual Practitioner Male Practitioner

Dr. Kevin J Risko , DMD

Dentist - General Practice • Lititz, PA

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Risko, DMD is a registered healthcare professional specializing in Dentist - General Practice in Lititz, PA. Practice services are available at 326 PORTLAND PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

326 Portland Pl

Lititz, PA 175437705

Telephone 7173204963

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lititz, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Lititz, PA (4936 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: 2024-09-11
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License PA DS039293

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
102770945 (PA)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location September 11, 2024

Registered at 326 PORTLAND PL, LITITZ, PA 175437705 (Tel: 7173204963)

📍
Updated Business Mailing Address September 11, 2024

Registered at 326 PORTLAND PL, LITITZ, PA 175437705 (Tel: 7173204963)

📍
Updated Practice Location October 07, 2022

Registered at 369 LOCUST STREET, FIRST FLOOR, COLUMBIA, PA 175121751 (Tel: 7173422577)

📍
Updated Business Mailing Address October 07, 2022

Registered at 116 S GEORGE ST, YORK, PA 174011474 (Tel: 7178458617)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2022

Dentist (License #DS039293 in PA)

📍
Updated Practice Location August 01, 2019

Registered at 500 UNIVERSITY DR, HERSHEY, PA 170334509 (Tel: 7175316886)

📍
Updated Business Mailing Address August 01, 2019

Registered at PO BOX 858, MC A410, HERSHEY, PA 170330858 (Tel: 8002431455)

NPI Profile Active March 03, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2015

Registered at 625 S DUKE ST, LANCASTER, PA 176024509 (Tel: 7172996372)

📍
Updated Business Mailing Address March 03, 2015

Registered at 326 PORTLAND PL, LITITZ, PA 175437705 (Tel: 7179455143)

👤
Provider Name / Credentials Updated March 03, 2015

Recorded as KEVIN RISKO, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2015

Dentist (License #DS039293 in PA)

🟢
Initial NPI Registration & Enumeration October 04, 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: 1053406132
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2006
Last Update: September 11, 2024
Sole Proprietor: No

Mailing Address

326 Portland Pl

Lititz, PA 175437705

Phone: 7173204963

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.