Provider Demographics
NPI:1821212119
Name:KAUFMAN, RICHARD PHILIP (DMD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:PHILIP
Last Name:KAUFMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 SMEDLEY LN
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-3248
Mailing Address - Country:US
Mailing Address - Phone:610-356-5011
Mailing Address - Fax:610-356-5201
Practice Address - Street 1:4 SMEDLEY LN
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-3248
Practice Address - Country:US
Practice Address - Phone:610-356-5011
Practice Address - Fax:610-356-5201
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS020313L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice