Provider Demographics
NPI:1881789683
Name:TROXLER, RICHARD DOUGLAS (DMD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:DOUGLAS
Last Name:TROXLER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1195 SHERIDAN ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-3738
Mailing Address - Country:US
Mailing Address - Phone:570-326-7084
Mailing Address - Fax:
Practice Address - Street 1:1195 SHERIDAN ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-3738
Practice Address - Country:US
Practice Address - Phone:570-326-7084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS028108L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice