DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: RICHARD P. MEDINA, DDS, LLC

MEDICARE: RICHARD P. MEDINA, DDS, LLC
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
1122300000XDentist

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 : 1053586164
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICHARD P. MEDINA, DDS, LLC
Provider Business Mailing Address
First Line : 3719 88TH ST
Second Line : 1ST FL
City : JACKSON HEIGHTS
State : NY
Zip : 11372-7630
Country : US
Telephone Number : 718-685-0031
Fax Number :
Provider Business Practice Location Address
First Line : 3719 88TH ST
Second Line : 1ST FL
City : JACKSON HEIGHTS
State : NY
Zip : 11372-7630
Country : US
Telephone Number : 718-685-0031
Fax Number : 718-685-0033
Authorized Official
Title or Position : OWNER
Name : DR. RICHARD P MEDINA
Credential : DDS
Telephone Number : 718-685-0031
Provider Enumeration Date : 04/29/2008
Last Update Date : 12/30/2015

Similar Medicare Providers

1437196888 — SASHA WAINSTEIN
Practice Location Address:
3711 88TH ST
JACKSON HEIGHTS, NY
11372-7630
Practice Phone: 718-478-9292
Practice Fax:
1336171040 — DR. SERGIO MARTINEZ
Practice Location Address:
3711 88TH ST
JACKSON HEIGHTS, NY
11372-7630
Practice Phone: 718-446-4544
Practice Fax:
1700965332 — ALL COUNTY PODIATRY ASSOCIATES, P.C.
Practice Location Address:
3711 88TH ST
JACKSON HEIGHTS, NY
11372-7630
Practice Phone: 718-728-3334
Practice Fax: 718-204-6866
1114067337 — DR. KELVIN OGELLE D.P.M
Practice Location Address:
3711 88TH ST
JACKSON HEIGHTS, NY
11372-7630
Practice Phone: 718-393-7705
Practice Fax: 718-446-4547
1053536250 — DR. RAFAEL ANTONIO RODRIGUEZ M.D.
Practice Location Address:
3711 88TH ST
JACKSON HEIGHTS, NY
11372-7630
Practice Phone: 347-605-2785
Practice Fax: 347-572-8781
1356553275 — DR. RICHARD P MEDINA DDS
Practice Location Address:
3719 88TH ST FL 1
JACKSON HEIGHTS, NY
11372-7630
Practice Phone: 718-685-0031
Practice Fax: 718-685-0033

Directions to “RICHARD P. MEDINA, DDS, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.