Provider Demographics
NPI:1609859701
Name:RICHEY, BRANDY P (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRANDY
Middle Name:P
Last Name:RICHEY
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 1:3022 E 57TH AVE
Mailing Address - Street 2:SUITE 10
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-7033
Mailing Address - Country:US
Mailing Address - Phone:509-443-8910
Mailing Address - Fax:509-443-8911
Practice Address - Street 1:3022 E 57TH AVE
Practice Address - Street 2:SUITE 10
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-7033
Practice Address - Country:US
Practice Address - Phone:509-443-8910
Practice Address - Fax:509-443-8911
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA78481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice