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NPI Code Detail

MEDICARE: RICHARD D RIVA DDS & GERARD A BEGLEY DMD LLC

MEDICARE: RICHARD D RIVA DDS & GERARD A BEGLEY DMD LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223S0112XOral and Maxillofacial Surgery (Dentist)22DI0102990NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
122DI01029900OTHERNJLICENSE

General Provider Information

NPI Number : 1700090693
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICHARD D RIVA DDS & GERARD A BEGLEY DMD LLC
Provider Business Mailing Address
First Line : 22 HOWARD BLVD
Second Line : STE 201
City : MOUNT ARLINGTON
State : NJ
Zip : 07856-1532
Country : US
Telephone Number : 973-601-0606
Fax Number :
Provider Business Practice Location Address
First Line : 22 HOWARD BLVD
Second Line : STE 201
City : MOUNT ARLINGTON
State : NJ
Zip : 07856-1532
Country : US
Telephone Number : 973-601-0606
Fax Number :
Authorized Official
Title or Position : DENTIST ORALANDMAXILLOFACIAL SURGEY
Name : DR. RICHARD RIVA
Credential :
Telephone Number : 973-601-0606
Provider Enumeration Date : 05/09/2007
Last Update Date : 11/13/2008

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