Provider Demographics
NPI:1649228289
Name:RICHARDS, JOE M (DDS)
Entity type:Individual
Prefix:
First Name:JOE
Middle Name:M
Last Name:RICHARDS
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 1:3820 SANDY FORKS DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2618
Mailing Address - Country:US
Mailing Address - Phone:281-360-3307
Mailing Address - Fax:281-361-3718
Practice Address - Street 1:3820 SANDY FORKS DR
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77339-2618
Practice Address - Country:US
Practice Address - Phone:281-360-3307
Practice Address - Fax:281-361-3718
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX148061223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics