Dr. Marvin Stanley Richards, D.D.S.
Dentist, General Practice in Great Neck, NY. Individual provider (NPI-1).
NPI number1174536601
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1174536601
- Entity type
- Individual (NPI-1)
- Name
- Dr. Marvin Stanley Richards
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 14, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DDS 027114 | NY | Yes |
Practice location
1010 Northern BlvdSuite 116
Great Neck, NY 11021-5306
Phone 516-829-5651 · Fax 516-829-9131
Mailing address
1010 Northern BlvdSuite 116
Great Neck, NY 11021-5306
Phone 516-829-5651 · Fax 516-829-9131
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