Healthcare Provider Details

I. General information

NPI: 1760114789
Provider Name (Legal Business Name): ALEXANDER RICHTER DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2022
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 SAMFORD VILLAGE CT STE A
AUBURN AL
36830-6392
US

IV. Provider business mailing address

1864 MOYLE LN
AUBURN AL
36830-8002
US

V. Phone/Fax

Practice location:
  • Phone: 334-203-4974
  • Fax:
Mailing address:
  • Phone: 570-618-9239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberD.007576-C1
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: