DAVID W RICHARDS DDS PHD NPI 1659584670

NPI Information

  • NPI: 1659584670
  • Provider Name: DAVID W RICHARDS, DDS, PHD
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Doing Business As: SAN DIEGO PERIODONTICS
  • Address: 4060 4TH AVE
    SUITE 303
    SAN DIEGO, CA
    ZIP 92103
  • Phone: (619) 543-0905

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NPI Details

DAVID W RICHARDS, DDS, PHD is a periodontics dentist in San Diego, 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. DAVID W RICHARDS, DDS, PHD NPI is 1659584670. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As San Diego Periodontics.

The provider's business location address is:

4060 4TH AVE
SUITE 303
SAN DIEGO, CA
ZIP 92103-116
Phone: (619) 543-0905
Fax: (619) 543-0422

The provider's authorized official is David W Richards .
The authorized official title is Owner and has the following contact phone number (619) 543-0905.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 4/15/2008.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodontics39876CALIFORNIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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