# RICHARD TOM D.M.D. LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RT Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285007344
- **Authorized official:** DR. RICHARD TOM DMD (OWNER)
- **Authorized official phone:** (201) 681-0039

## Contact information

- **Practice address:** 192 CHESTNUT ST, NUTLEY, NJ 07110-2329
- **Practice address phone:** (973) 667-2500
- **Mailing address:** 4-15 26TH ST, FAIR LAWN, NJ 07410-3816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI02171700 | NJ | Yes |

## Other

- **Enumeration date:** 11/10/2015
- **Last updated:** 02/19/2016