Provider Demographics
NPI:1902817349
Name:RICHTER, GRETA ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:GRETA
Middle Name:ANN
Last Name:RICHTER
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 1:115 E 61ST
Mailing Address - Street 2:STE 5E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-888-4140
Mailing Address - Fax:212-486-7556
Practice Address - Street 1:115 E 61ST
Practice Address - Street 2:STE 5E
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-888-4140
Practice Address - Fax:212-486-7556
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051428122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist