Provider Demographics
NPI:1366498826
Name:RICHARD L. TRIPPIE, D.D.S. AND RALPH A. TRAYLOR, D.D.S., L.L.P.
Entity Type:Organization
Organization Name:RICHARD L. TRIPPIE, D.D.S. AND RALPH A. TRAYLOR, D.D.S., L.L.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:TRIPPIE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-427-4736
Mailing Address - Street 1:4001 GARTH RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3115
Mailing Address - Country:US
Mailing Address - Phone:281-427-4736
Mailing Address - Fax:281-427-7127
Practice Address - Street 1:4001 GARTH RD
Practice Address - Street 2:SUITE 104
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3115
Practice Address - Country:US
Practice Address - Phone:281-427-4736
Practice Address - Fax:281-427-7127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101771223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty