Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RICHARD DOUGLAS TAVERNA, PH.D.,D.D.S.
DeactivatedMR. RICHARD DOUGLAS TAVERNA, PH.D.,D.D.S. is a General Dentistry healthcare provider located in SAN ANTONIO, Texas. NPI 1912903444 is deactivated in the NPPES registry. Verify at CMS.
General Dentistry · SAN ANTONIO, TX
This NPI has been deactivated.
The record was deactivated on March 21, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1912903444
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 21, 2005 (0.74794520547945 yrs)
- Last Updated
- Sep 12, 2012
- Deactivated
- Mar 21, 2006
- License
-
13696 (TX)
Practice Information
- Address
-
430 W LOOP 1604 NSUITE 109SAN ANTONIO, TX, 782513342Browse TX providers · Browse ZIP 78251
- Phone
- 2104693869
- Fax
- 2104020025
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in SAN ANTONIO, TX
| Name | Credential | NPI |
|---|---|---|
| DR. PAUL LOUIS SLATTERY | DDS | 1790788461 |
| ROBERT EWING RANEY JR. | D.D.S. | 1124021522 |
| DR. CRAIG R CARLSON | DDS | 1811999865 |
| DR. JOAN DREHER | DDS | 1073517694 |
| DR. RICHARD LOUIS RAIMONDO JR. | D.D.S. | 1912902214 |
| DR. WARREN BOSWELL BRANCH | DDS | 1275531311 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.