JORDAN RICHERT DMD PC NPI 1306466172

NPI Information

JORDAN RICHERT DMD, PC is a periodontics dentist in Lafayette, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. JORDAN RICHERT DMD, PC NPI is 1306466172. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

895 MORAGA RD STE 6
LAFAYETTE, CA
ZIP 94549-039
Phone: (925) 283-8101

The provider's authorized official is Jordan Richert .
The authorized official title is President and has the following contact phone number (480) 358-8489.

The enumeration date for this NPI number is 4/22/2020 and was last updated on 12/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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