Provider Demographics
NPI:1275340721
Name:JONATHAN DAVID RICHTSTEIG DMD PLLC
Entity type:Organization
Organization Name:JONATHAN DAVID RICHTSTEIG DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:RICHTSTEIG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:480-258-1731
Mailing Address - Street 1:5340 S POWER RD STE 104
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-8403
Mailing Address - Country:US
Mailing Address - Phone:480-258-1731
Mailing Address - Fax:866-910-4969
Practice Address - Street 1:5340 S POWER RD STE 104
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-8403
Practice Address - Country:US
Practice Address - Phone:480-258-1731
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-17
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental