Provider Demographics
NPI:1245480599
Name:USINGER, RICHARD PUTNAM (DDS)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:PUTNAM
Last Name:USINGER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1981 N BROADWAY STE 212
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-3872
Mailing Address - Country:US
Mailing Address - Phone:925-935-7000
Mailing Address - Fax:925-938-6001
Practice Address - Street 1:1981 N BROADWAY STE 212
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-3872
Practice Address - Country:US
Practice Address - Phone:925-935-7000
Practice Address - Fax:925-938-6001
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-23
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA233911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice