Richter, John James

Richter, John James is an individual health care provider with primary practice located at 1 Sagebrush St , Isleta NM 87022. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Richter, John James can be contacted via phone (505) 869-4499.

Contact Information

Primary practice address
1 Sagebrush St Isleta NM 87022
Phone: (505) 869-4499
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X DD1961 New Mexico

Profile Details

NPI number 1831169986
LBN Legal business name Richter, John James
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831169986 NPPES
New Mexico MEDICAID 59970227

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