=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588953681
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HJ RICHMAN DDS, PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/30/2011
-----------------------------------------------------
Last Update Date | 03/30/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 21150 BISCAYNE BLVD SUITE 401
-----------------------------------------------------
City | AVENTURA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33180-1226
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-931-4284
-----------------------------------------------------
Fax | 305-931-3354
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 21150 BISCAYNE BLVD SUITE 401
-----------------------------------------------------
City | AVENTURA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33180-1226
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-931-4284
-----------------------------------------------------
Fax | 305-931-3354
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. HAROLD J RICHMAN
-----------------------------------------------------
Credential | DDS
-----------------------------------------------------
Telephone | 305-931-4284
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223S0112X
-----------------------------------------------------
Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------