Provider Demographics
NPI:1528173457
Name:RICHARD EPSTEIN, D.M.D., P.A.
Entity type:Organization
Organization Name:RICHARD EPSTEIN, D.M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:EPSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:305-871-4199
Mailing Address - Street 1:6221 NW 36TH ST
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-7026
Mailing Address - Country:US
Mailing Address - Phone:305-871-4199
Mailing Address - Fax:305-871-3623
Practice Address - Street 1:6221 NW 36TH ST
Practice Address - Street 2:
Practice Address - City:VIRGINIA GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33166-7026
Practice Address - Country:US
Practice Address - Phone:305-871-4199
Practice Address - Fax:305-871-3623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN8444261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental