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Active NPI 1265501233 Individual Practitioner Male Practitioner

Dr. Douglas W Rietz , DMD

Dentist - General Practice • Walla Walla, WA

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Rietz, DMD is a registered healthcare professional specializing in Dentist - General Practice in Walla Walla, WA. Practice services are available at 208 S PARK ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

208 S Park St

Walla Walla, WA 993623247

Telephone 5095220499
Fax 5095220593
Associated Practice Facility / Clinic
🏢 Rietz Dental Management Corporation Facility NPI 1295947463

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Walla Walla, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
29 Specialists

Practicing in Walla Walla, WA (3345 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 WA DE00006530

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
5017033 (WA)
Commercial Insurance / Payer ID Washington Dental Svc
56530 (WA)
Commercial Insurance / Payer ID United Concordia
00762606 (WA)

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 208 S PARK ST, WALLA WALLA, WA 993623247 (Tel: 5095220499)

📍
Updated Business Mailing Address July 08, 2007

Registered at 208 S PARK ST, WALLA WALLA, WA 993623247 (Tel: 5095220499)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DOUGLAS RIETZ, D.M.D.

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

Dentist (License #DE00006530 in WA)

🟢
Initial NPI Registration & Enumeration November 06, 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: 1265501233
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2006
Last Update: July 08, 2007
Sole Proprietor: No
Update or Correct Profile

Mailing Address

208 S Park St

Walla Walla, WA 993623247

Phone: 5095220499

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.