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NPI 1407967003

OrganizationActive

Bruce E Ringdahl LLC

NPI 1407967003 · Periodontics · Columbia, MO

Provider details

NPI number: 1407967003
Entity type: Organization
Primary specialty: PeriodonticsDental Providers
Authorized official: Bruce Ringdahl, President
License: 015061 (MO)

Practice location

201 W Broadway

Columbia, MO 65203-3842

Phone: (573) 443-1618

More MO providers

Mailing address

201 W Broadway

Columbia, MO 65203-3842

Registry dates

Enumerated: 2006-08-31
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Bruce E Ringdahl LLC — NPI 1407967003, Columbia, MO | NPI Central