Provider Demographics
NPI:1033122510
Name:NAKABAYASHI, RICHARD LEIGH (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:LEIGH
Last Name:NAKABAYASHI
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 1:897 EMBARCADERO DR
Mailing Address - Street 2:SUITE 211
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-4097
Mailing Address - Country:US
Mailing Address - Phone:916-933-5100
Mailing Address - Fax:916-933-5187
Practice Address - Street 1:897 EMBARCADERO DR
Practice Address - Street 2:SUITE 211
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-4097
Practice Address - Country:US
Practice Address - Phone:916-933-5100
Practice Address - Fax:916-933-5187
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA293931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice