Provider Demographics
NPI:1881092054
Name:RICHTER CENTER FOR SLEEP MEDICINE, LLC
Entity type:Organization
Organization Name:RICHTER CENTER FOR SLEEP MEDICINE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:D
Authorized Official - Last Name:RICHTER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:970-392-1733
Mailing Address - Street 1:1813 61ST AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-7994
Mailing Address - Country:US
Mailing Address - Phone:970-392-1733
Mailing Address - Fax:970-392-1744
Practice Address - Street 1:1813 61ST AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-7994
Practice Address - Country:US
Practice Address - Phone:970-392-1733
Practice Address - Fax:970-392-1744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-19
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN00007319122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty