Provider Demographics
NPI:1841920048
Name:RICHER AND RIVERA DENTAL, LLP
Entity type:Organization
Organization Name:RICHER AND RIVERA DENTAL, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:917-569-1947
Mailing Address - Street 1:754 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-5017
Mailing Address - Country:US
Mailing Address - Phone:917-569-1947
Mailing Address - Fax:
Practice Address - Street 1:754 S BROADWAY
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-5017
Practice Address - Country:US
Practice Address - Phone:917-569-1947
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-13
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Single Specialty