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NPI Code Detail

MEDICARE: DR. MICHAEL DANIEL RICHLER DMD

MEDICARE: DR. MICHAEL DANIEL RICHLER DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0221XPediatric DentistryDN1856102MA
21223P0221XPediatric Dentistry04003NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013200641
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL DANIEL RICHLER DMD
Provider Business Mailing Address
First Line : 81 WEST ST
Second Line :
City : LEOMINSTER
State : MA
Zip : 01453-5649
Country : US
Telephone Number : 802-238-6142
Fax Number :
Provider Business Practice Location Address
First Line : 81 WEST ST
Second Line :
City : LEOMINSTER
State : MA
Zip : 01453-5649
Country : US
Telephone Number : 802-238-6142
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2011
Last Update Date : 09/11/2015

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