Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Brock Riedel, DMD

Individual provider Dentist · NPI 1750010542

Dr. Brock Riedel, DMD is a Dentist in Waltham, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2022
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

862 Lexington St
Waltham, MA 02452-4849
Phone: (781) 684-9714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN1859503 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1750010542
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 7, 2022
Last updated in NPPESAugust 2, 2022
Certification dateAugust 2, 2022
Mailing address55 West 5th, Apt 605, Boston, MA 02127

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