Provider Demographics
NPI:1023222981
Name:TORREY, RICHARD ROY (DDS)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:ROY
Last Name:TORREY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33100 COACHMAN LN
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-2362
Mailing Address - Country:US
Mailing Address - Phone:440-248-1271
Mailing Address - Fax:
Practice Address - Street 1:2035 SNOW RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-2726
Practice Address - Country:US
Practice Address - Phone:216-749-4770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300187971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0724630Medicaid