Provider Demographics
NPI:1902098189
Name:TOBY G. RICHARDS DDS
Entity Type:Organization
Organization Name:TOBY G. RICHARDS DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TOBY
Authorized Official - Middle Name:G
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:406-494-2525
Mailing Address - Street 1:1240 DEWEY BLVD
Mailing Address - Street 2:SUITEB
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-3411
Mailing Address - Country:US
Mailing Address - Phone:406-494-2525
Mailing Address - Fax:406-494-2508
Practice Address - Street 1:1240 DEWEY BLVD
Practice Address - Street 2:SUITEB
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-3411
Practice Address - Country:US
Practice Address - Phone:406-494-2525
Practice Address - Fax:406-494-2508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-13
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty