Provider Demographics
NPI:1750590204
Name:LOW, RICHARD H (DDS)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:H
Last Name:LOW
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 1:430 W 116TH ST
Mailing Address - Street 2:SUITE 1EF
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-7220
Mailing Address - Country:US
Mailing Address - Phone:212-662-4887
Mailing Address - Fax:
Practice Address - Street 1:430 W 116TH ST
Practice Address - Street 2:SUITE 1EF
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-7220
Practice Address - Country:US
Practice Address - Phone:212-662-4887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0328681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice