Provider Demographics
NPI:1164991576
Name:DARREN L RICH DDS, A DENTAL CORPORATION
Entity Type:Organization
Organization Name:DARREN L RICH DDS, A DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER/PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:L
Authorized Official - Last Name:RICH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:559-592-2213
Mailing Address - Street 1:140 S B ST
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:CA
Mailing Address - Zip Code:93221-1814
Mailing Address - Country:US
Mailing Address - Phone:559-592-2213
Mailing Address - Fax:559-594-4918
Practice Address - Street 1:40915 SIERRA DR STE C
Practice Address - Street 2:
Practice Address - City:THREE RIVERS
Practice Address - State:CA
Practice Address - Zip Code:93271-9586
Practice Address - Country:US
Practice Address - Phone:559-561-4445
Practice Address - Fax:559-561-4446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-14
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty