| John D Richardson Ii Family Dentistry Pa | |
|
421 Sw 2nd St Corning AR 72422-2708 | |
| (870) 857-0045 | |
| (870) 857-0051 |
| Full Name | John D Richardson Ii Family Dentistry Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 421 Sw 2nd St, Corning, Arkansas |
| Authorized Official Name and Position | John D Richardson (OWNER/DENTIST) |
| Authorized Official Contact | 8708570045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John D Richardson Ii Family Dentistry Pa 421 Sw 2nd St Corning AR 72422-2708 Ph: (870) 857-0045 | John D Richardson Ii Family Dentistry Pa 421 Sw 2nd St Corning AR 72422-2708 Ph: (870) 857-0045 |
| NPI Number | 1922614916 |
|---|---|
| Provider Enumeration Date | 09/16/2020 |
| Last Update Date | 09/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922614916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Billy D Russom, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Hospital Dr, Corning, AR 72422 Phone: 870-857-3557 Fax: 870-857-5128 |