Healthcare Provider Details

I. General information

NPI: 1710816046
Provider Name (Legal Business Name): NATALIE PAIGE RIVERA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 E NORTH ST
OWOSSO MI
48867-1820
US

IV. Provider business mailing address

7371 CRYSTAL LAKE DR APT 12
SWARTZ CREEK MI
48473-8941
US

V. Phone/Fax

Practice location:
  • Phone: 989-472-1292
  • Fax:
Mailing address:
  • Phone: 734-341-5374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2901603080
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: