MEDICARE: DR. GREGORY E RINGLER DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	5774-15	WI
2	1223G0001X	General Practice Dentistry	019026610	IL
3	1223X0008X	Oral and Maxillofacial Radiology Dentistry	5774-15	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	9178431	OTHER	IL	DOREL

General Provider Information

NPI Number	:	1821071804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY E RINGLER DMD

Provider Business Mailing Address
First Line	:	2080 CHILD ST DEPT 5000
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32214-5000
Country	:	US
Telephone Number	:	904-542-9241
Fax Number	:

Provider Business Practice Location Address
First Line	:	2080 CHILD ST DEPT 5000
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32214-5000
Country	:	US
Telephone Number	:	904-542-9241
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	07/17/2025

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