Provider Demographics
NPI:1477564300
Name:RECHTER, MICHAEL J (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:RECHTER
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 1:100 N CENTRE AVE
Mailing Address - Street 2:SUITE #402
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-3937
Mailing Address - Country:US
Mailing Address - Phone:516-766-0122
Mailing Address - Fax:516-766-1287
Practice Address - Street 1:100 N CENTRE AVE
Practice Address - Street 2:SUITE #402
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-3937
Practice Address - Country:US
Practice Address - Phone:516-766-0122
Practice Address - Fax:516-766-1287
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3678411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice