# RICHARD S NEUMAN DDS P C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ADVANCE DENTAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831570555
- **Authorized official:** LISA KLEIN (OFFICE MANAGER)
- **Authorized official phone:** (616) 956-9183

## Contact information

- **Practice address:** 3930 BURTON ST SE, GRAND RAPIDS, MI 49546-5819
- **Practice address phone:** (616) 956-9183
- **Practice address fax:** (616) 956-1527
- **Mailing address:** 3930 BURTON ST SE, GRAND RAPIDS, MI 49546-5819
- **Mailing address phone:** (616) 956-9183
- **Mailing address fax:** (616) 956-1527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901014274 | MI | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 06/18/2015
- **Last updated:** 10/06/2015