Provider Demographics
NPI:1457527228
Name:RICHARD EPSTEIN, D.M.D.,P.A.
Entity Type:Organization
Organization Name:RICHARD EPSTEIN, D.M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:EPSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:305-374-2543
Mailing Address - Street 1:1444 BISCAYNE BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33132-1430
Mailing Address - Country:US
Mailing Address - Phone:305-374-2543
Mailing Address - Fax:305-374-0198
Practice Address - Street 1:1444 BISCAYNE BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132-1430
Practice Address - Country:US
Practice Address - Phone:305-374-2543
Practice Address - Fax:305-374-0198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN8444122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty