Individual
DR. JONATHAN MICHAEL RICHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
310 E SHORE RD, SUITE 101, GREAT NECK, NY 11023-2432
(516) 282-0310
(516) 282-0313
Mailing address
310 E SHORE RD, SUITE 101, GREAT NECK, NY 11023-2432
(516) 282-0310
(516) 282-0313
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
042221
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
522421632
TAX ID#
NY
Enumeration date
04/09/2007
Last updated
12/21/2017
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