Provider Demographics
NPI:1770665259
Name:MENZEL, RICHARD ALAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ALAN
Last Name:MENZEL
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:600 HEMPSTEAD TPKE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552
Mailing Address - Country:US
Mailing Address - Phone:516-481-2277
Mailing Address - Fax:516-481-2373
Practice Address - Street 1:600 HEMPSTEAD TPKE
Practice Address - Street 2:SUITE 100
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552
Practice Address - Country:US
Practice Address - Phone:516-481-2277
Practice Address - Fax:516-481-2373
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY26525204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery