| Richard | |
|
161 Ash Street Reading MA 01867 | |
| (781) 944-7899 | |
| (781) 944-5203 |
| Full Name | Richard |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 161 Ash Street, Reading, Massachusetts |
| Authorized Official Name and Position | Richard Kelley Yost (OWNER) |
| Authorized Official Contact | 7819447899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard 161 Ash Street Reading MA 01867 Ph: () - | Richard 161 Ash Street Reading MA 01867 Ph: (781) 944-7899 |
| NPI Number | 1457422800 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457422800 | NPI | - | NPPES |
| 9720804 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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