Provider Demographics
NPI:1275744872
Name:ORENSTEIN, RICHARD DEXTER (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:DEXTER
Last Name:ORENSTEIN
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 1:11100 NEWPORT MILL RD
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-1633
Mailing Address - Country:US
Mailing Address - Phone:301-942-3311
Mailing Address - Fax:
Practice Address - Street 1:11100 NEWPORT MILL RD
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-1633
Practice Address - Country:US
Practice Address - Phone:301-942-3311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD93881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
830462159OtherE.I.N.