Provider Demographics
NPI:1386762805
Name:RICHTER, WILLIAM H (DDS)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:H
Last Name:RICHTER
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:PO BOX 5912
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-0912
Mailing Address - Country:US
Mailing Address - Phone:989-792-1544
Mailing Address - Fax:989-792-0819
Practice Address - Street 1:2650 MCLEOD DR N
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-2850
Practice Address - Country:US
Practice Address - Phone:989-792-1544
Practice Address - Fax:989-792-0818
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI100831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice