| Richard S Dillon Dds Pc | |
|
720 W Grand Ave Chickasha OK 73018-5743 | |
| (405) 224-1311 | |
| Not Available |
| Full Name | Richard S Dillon Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 720 W Grand Ave, Chickasha, Oklahoma |
| Authorized Official Name and Position | Richard Dillon (OWNER / DENTIST) |
| Authorized Official Contact | 4052241311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard S Dillon Dds Pc 720 W Grand Ave Chickasha OK 73018-5743 Ph: () - | Richard S Dillon Dds Pc 720 W Grand Ave Chickasha OK 73018-5743 Ph: (405) 224-1311 |
| NPI Number | 1134826449 |
|---|---|
| Provider Enumeration Date | 02/08/2023 |
| Last Update Date | 02/08/2023 |
| Medicare PECOS PAC ID | 4183080054 |
|---|---|
| Medicare Enrollment ID | O20230518001887 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134826449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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