IndividualActive
Richard Rizzo
NPI 1407917123 · Periodontics · Salt Lake City, UT
Provider details
- NPI number
- 1407917123
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 138804-9922 (UT)
Specialties & taxonomies
Dental Providers
Practice location
370 E South Temple
Suite 350
Salt Lake City, UT 84111-1206
Phone: (501) 320-9810
Approximate (ZIP-level) locationGet directions
Mailing address
370 E South Temple
Salt Lake City, UT 84111-1206
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.