Provider Demographics
NPI:1851769822
Name:BHATT, RICHA PIYUSH (DMD)
Entity type:Individual
Prefix:DR
First Name:RICHA
Middle Name:PIYUSH
Last Name:BHATT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 MAIN ST # 200188
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01887-2087
Mailing Address - Country:US
Mailing Address - Phone:978-658-8800
Mailing Address - Fax:
Practice Address - Street 1:188 MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:MA
Practice Address - Zip Code:01887-2046
Practice Address - Country:US
Practice Address - Phone:978-658-8800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-09
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18570071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1851769822OtherDENTAL BOARD