Healthcare Provider Details

I. General information

NPI: 1700910908
Provider Name (Legal Business Name): PHILIP S RICHARDS DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 N ASHLEY ST
ANN ARBOR MI
48103-3308
US

IV. Provider business mailing address

406 N ASHLEY ST
ANN ARBOR MI
48103-3308
US

V. Phone/Fax

Practice location:
  • Phone: 734-998-9640
  • Fax: 734-998-9647
Mailing address:
  • Phone: 734-998-9640
  • Fax: 734-998-9647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2901013807
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number2901013807
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: