Healthcare Provider Details

I. General information

NPI: 1538734975
Provider Name (Legal Business Name): RACHEL MARIE RICHTER DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2021
Last Update Date: 03/14/2023
Certification Date: 03/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15033 W BELL RD STE 100
SURPRISE AZ
85374-3260
US

IV. Provider business mailing address

19635 W BADGETT LN
LITCHFIELD PARK AZ
85340-5252
US

V. Phone/Fax

Practice location:
  • Phone: 623-537-9100
  • Fax:
Mailing address:
  • Phone: 520-235-8125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD011068
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD011068
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: