2791 RICHMOND LLC is a general practice dentist in Staten Island, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. 2791 RICHMOND LLC NPI is 1003391186. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
2791 RICHMOND AVENUE, SUITE 2
STATEN ISLAND, NY
ZIP 10314
Phone: (718) 400-9002
The provider's authorized official is Toni Lynn Egan .
The authorized official title is Credentialing Department and has the following contact phone number (718) 979-2121.
The enumeration date for this NPI number is 9/25/2018 and was last updated on 9/25/2018.