J J Richardson Dds Pllc | |
840 Se 4th St Suite 3a Moore OK 73160-7263 | |
(405) 799-7071 | |
Not Available |
Full Name | J J Richardson Dds Pllc |
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Speciality | Dentist - General Practice |
Location | 840 Se 4th St, Moore, Oklahoma |
Authorized Official Name and Position | Jimmy J Richardson (OWNER) |
Authorized Official Contact | 4057997071 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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J J Richardson Dds Pllc 840 Se 4th St Suite 3a Moore OK 73160-7263 Ph: (405) 799-7071 | J J Richardson Dds Pllc 840 Se 4th St Suite 3a Moore OK 73160-7263 Ph: (405) 799-7071 |
NPI Number | 1134393036 |
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Provider Enumeration Date | 04/22/2008 |
Last Update Date | 04/22/2008 |
Identifier | Type | State | Issuer |
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1134393036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5126 (Oklahoma) | Primary |
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