MEDICARE: DR. ALEXANDER RICHTER DMD

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
1	1223G0001X	General Practice Dentistry	196870	AK
2	1223E0200X	Endodontics	D.007576-C1	AL

General Provider Information

NPI Number	:	1760114789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER RICHTER DMD

Provider Business Mailing Address
First Line	:	1864 MOYLE LN
Second Line	:
City	:	AUBURN
State	:	AL
Zip	:	36830-8002
Country	:	US
Telephone Number	:	570-618-9239
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 SAMFORD VILLAGE CT STE A
Second Line	:
City	:	AUBURN
State	:	AL
Zip	:	36830-6392
Country	:	US
Telephone Number	:	334-203-4974
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2022
Last Update Date	:	01/16/2026

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