Richard Donald Faber, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

030056-1 Issued in NY

Practice address

425 Broadhollow Rd
Suite 125
Melville, NY 11747-4713

Phone

(631) 752-9422

Fax

(631) 752-3138

NPI assigned

Jul 11, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1033117379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 BROADHOLLOW RD",
            "address_2": "SUITE 125",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474713",
            "telephone_number": "631-752-9422",
            "fax_number": "631-752-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 BROADHOLLOW RD",
            "address_2": "SUITE 125",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474713",
            "telephone_number": "631-752-9422",
            "fax_number": "631-752-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABER",
        "first_name": "RICHARD",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "030056-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizel Lucia Eustaquio-Stover, L.AC.
• Nicole Ophelia Evans
• Rachel A Evans
• Samantha Anne Evans
• Evernorth Medical Care Providers New York Professional Corporation
• Zackary Troy Faber, D.D.S.
• Faguna C. Patel, D.O., P.L.L.C.
• Julianne Fairbrother
• Jodi A Falco
• Lauren Falco

• Orthodontics and Dentofacial Orthopedics Dentistry in Melville, NY
• Providers in Melville, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.