Provider Demographics
NPI:1588711535
Name:TROLL, RICHARD B (DMD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:B
Last Name:TROLL
Suffix:
Gender:M
Credentials:DMD
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Mailing Address - Street 1:638 NEWTOWN YARDLEY RD
Mailing Address - Street 2:#1 A
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1758
Mailing Address - Country:US
Mailing Address - Phone:215-968-4545
Mailing Address - Fax:215-968-3252
Practice Address - Street 1:638 NEWTOWN YARDLEY RD
Practice Address - Street 2:#1 A
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1758
Practice Address - Country:US
Practice Address - Phone:215-968-4545
Practice Address - Fax:215-968-3252
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PADS018750L1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry