Provider Demographics
NPI:1487717211
Name:DENTAL ASSOCIATES OF RICHMOND PC
Entity type:Organization
Organization Name:DENTAL ASSOCIATES OF RICHMOND PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:F
Authorized Official - Last Name:ABBADESSA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-667-4800
Mailing Address - Street 1:1145 TARGEE STREET
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304
Mailing Address - Country:US
Mailing Address - Phone:718-667-4800
Mailing Address - Fax:718-667-7292
Practice Address - Street 1:1145 TARGEE STREET
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10304
Practice Address - Country:US
Practice Address - Phone:718-667-4800
Practice Address - Fax:718-667-7292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty