Provider Demographics
NPI:1790907541
Name:JOEL M. RICHTERMAN D.D.S., PA
Entity Type:Organization
Organization Name:JOEL M. RICHTERMAN D.D.S., PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:RICHTERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:856-678-5866
Mailing Address - Street 1:127 N BROADWAY
Mailing Address - Street 2:PO BOX 407
Mailing Address - City:PENNSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08070-1618
Mailing Address - Country:US
Mailing Address - Phone:856-678-5866
Mailing Address - Fax:856-678-4893
Practice Address - Street 1:127 N BROADWAY
Practice Address - Street 2:
Practice Address - City:PENNSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08070-1618
Practice Address - Country:US
Practice Address - Phone:856-678-5866
Practice Address - Fax:856-678-4893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty