Healthcare Provider Details

I. General information

NPI: 1184647281
Provider Name (Legal Business Name): BRUCE B RICHARDS DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4361 W REDWOOD CIR
CEDAR HILLS UT
84062-9277
US

IV. Provider business mailing address

4361 W REDWOOD CIR
CEDAR HILLS UT
84062-9277
US

V. Phone/Fax

Practice location:
  • Phone: 801-376-2770
  • Fax:
Mailing address:
  • Phone: 801-376-2770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number145742-9923
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: