Provider Demographics
NPI:1285720607
Name:SATHRE, RICHARD A (DDS)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:A
Last Name:SATHRE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2004 W 15TH ST
Mailing Address - Street 2:#5
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-3596
Mailing Address - Country:US
Mailing Address - Phone:970-663-3542
Mailing Address - Fax:
Practice Address - Street 1:2004 W 15TH ST
Practice Address - Street 2:#5
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-3596
Practice Address - Country:US
Practice Address - Phone:970-663-3542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1047461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice