| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 04/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134393036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5126 (Oklahoma) | Primary |
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