NPI 1053313924 JIMMY J RICHARDSON DDS MOORE OK. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Jimmy J Richardson - NPI: 1053313924

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: JIMMY J RICHARDSON
NPI Number: 1053313924
Entity Type Code: Individual (1)
Gender: M
Credentials: DDS
License Number: 5126
Business Practice Address: 840 Se 4th St
Suite 3a Moore, OK - 731607262
Business Phone Number: 4057997071
Business Fax Number: 4057945597
Mailing Address: 840 Se 4th St, Suite 3a
MOORE
State: OK
Postal Code: 731607262
Phone Number: 4057997071
Fax Number: 4057945597
NPI Enumeration Date: 08/11/2005
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 1223G0001X
License Number: 5126
Healthcare Provider Taxonomy:
(Secondary)
Y
State: OK
Taxonomy Type: Dental Providers
Taxonomy Classification: Dentist
Taxonomy Specialization: General Practice
Taxonomy Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


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