Provider Demographics
NPI:1568802726
Name:RICHARDS, TRISHA MARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:TRISHA
Middle Name:MARIE
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:257 W GRANVILLE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SUNBURY
Mailing Address - State:OH
Mailing Address - Zip Code:43074-9684
Mailing Address - Country:US
Mailing Address - Phone:740-965-4090
Mailing Address - Fax:740-965-9921
Practice Address - Street 1:257 W GRANVILLE ST STE 200
Practice Address - Street 2:
Practice Address - City:SUNBURY
Practice Address - State:OH
Practice Address - Zip Code:43074-9684
Practice Address - Country:US
Practice Address - Phone:740-965-9921
Practice Address - Fax:740-965-9921
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.023929122300000X
NE7169122300000X
IA09107122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist