Organization · Type 2 NPI
Jordan Richert Dmd, PC
Periodontics · Lafayette, CA
NPI number
1306466172
Active
Practice location
895 Moraga Rd Ste 6
Lafayette, CA 94549-5039
Mailing address
311 Oak St Apt 740
Oakland, CA 94607-4627
Other practice locations
- 2200 Larkspur Landing Cir Ste 103, Larkspur, CA 94939-1822 · (415) 461-5280
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | None listed |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
4 other providers at this address
About NPI 1306466172
Jordan Richert Dmd, PC's National Provider Identifier is 1306466172, issued on Apr 22, 2020. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Lafayette, CA. The record was last updated on Dec 21, 2020.