Provider Demographics
NPI:1821292624
Name:FURMAN, RICHARD L (DMD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:L
Last Name:FURMAN
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 1:434 S ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-6806
Mailing Address - Country:US
Mailing Address - Phone:941-953-3484
Mailing Address - Fax:941-366-2921
Practice Address - Street 1:434 S ORANGE AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-6806
Practice Address - Country:US
Practice Address - Phone:941-953-3484
Practice Address - Fax:941-366-2921
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL45781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice