Healthcare Provider Details

I. General information

NPI: 1487580700
Provider Name (Legal Business Name): RICHARDSON DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21175 N 9TH PL STE 100
PHOENIX AZ
85024-5683
US

IV. Provider business mailing address

21175 N 9TH PL STE 100
PHOENIX AZ
85024-5683
US

V. Phone/Fax

Practice location:
  • Phone: 845-820-2387
  • Fax:
Mailing address:
  • Phone: 845-820-2387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: SAAD HIRANI
Title or Position: PRESIDENT
Credential:
Phone: 510-646-6646