Richard Petty, D.D.S

NPI 1831105105 · on the registry since 2006 · sole proprietor

Practice

Address: 2050 Huntington Dr
Suite B
South Pasadena, CA 91030
Phone: (626) 441-2255
Fax: (626) 441-2242
Organisation at this address: Daniel E Niemann Dds Dental Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 1223S0112X
1223S0112X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-09-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California