Provider Demographics
NPI:1174316004
Name:RICHMOND SUMMIT DENTAL PLLC
Entity type:Organization
Organization Name:RICHMOND SUMMIT DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTEM
Authorized Official - Middle Name:
Authorized Official - Last Name:NUREYEV
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:267-210-5327
Mailing Address - Street 1:4106 NEWTON AVE APT 116
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-3074
Mailing Address - Country:US
Mailing Address - Phone:267-210-5327
Mailing Address - Fax:
Practice Address - Street 1:5605 RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-7113
Practice Address - Country:US
Practice Address - Phone:267-210-5327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-23
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty