Healthcare Provider Details

I. General information

NPI: 1467805853
Provider Name (Legal Business Name): RICHARD MARSHALL OPLER D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2016
Last Update Date: 04/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

376 COOLEY ST
SPRINGFIELD MA
01128-1144
US

IV. Provider business mailing address

8012 112TH STREET CT E #320
PUYALLUP WA
98373-7856
US

V. Phone/Fax

Practice location:
  • Phone: 413-796-1617
  • Fax:
Mailing address:
  • Phone: 253-848-2331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN1858210
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: