Healthcare Provider Details

I. General information

NPI: 1558312181
Provider Name (Legal Business Name): RICHARD P SZUMITA DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 PASSAIC AVE STE 203
FAIRFIELD NJ
07004-2523
US

IV. Provider business mailing address

310 PASSAIC AVE STE 203
FAIRFIELD NJ
07004-2523
US

V. Phone/Fax

Practice location:
  • Phone: 973-256-0103
  • Fax: 973-291-2827
Mailing address:
  • Phone: 973-256-0103
  • Fax: 973-291-2827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License NumberDI01843000
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDI 18430
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDI01843000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: