Individual
STEVEN LEE RICHWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2340 E 10TH ST, INDIANAPOLIS, IN 46201-2008
(317) 957-2450
(317) 957-2455
Mailing address
3403 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 957-2000
(317) 957-2050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12007056A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100133020
—
IN
Enumeration date
02/21/2007
Last updated
05/18/2016
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