Healthcare Provider Details

I. General information

NPI: 1821918509
Provider Name (Legal Business Name): RICHBORO PERIODONTICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

832 SECOND STREET PIKE
RICHBORO PA
18954-1098
US

IV. Provider business mailing address

832 SECOND STREET PIKE
RICHBORO PA
18954-1098
US

V. Phone/Fax

Practice location:
  • Phone: 215-953-1717
  • Fax:
Mailing address:
  • Phone: 215-953-1717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. RYAN KAYE
Title or Position: OWNER/PROVIDER
Credential: DMD, MS
Phone: 215-527-2810