Santos, Richard
Santos, Richard is an individual health care provider with primary practice located at 817 Federal Street , Camden NJ 08103. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Santos, Richard can be contacted via phone (856) 541-9811.Contact Information
Primary practice address
817 Federal Street
Camden NJ 08103
Phone: (856) 541-9811
Fax: (856) 541-3340
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 22DI02204001 | New Jersey |
Profile Details
| NPI number | 1043301591 |
|---|---|
| LBN Legal business name | Santos, Richard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043301591 | NPPES |
| New Jersey | MEDICAID | 0019411 |
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