Provider Demographics
NPI:1912900911
Name:SAPPERSTEIN, RICHARD LEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:LEE
Last Name:SAPPERSTEIN
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 1:3113 BIRCH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20015-2215
Mailing Address - Country:US
Mailing Address - Phone:202-362-2229
Mailing Address - Fax:202-363-2608
Practice Address - Street 1:5225 CONNECTICUT AVE NW
Practice Address - Street 2:STE 108
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-1845
Practice Address - Country:US
Practice Address - Phone:202-244-5122
Practice Address - Fax:202-363-2608
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN31991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice