| Jake Richardson, DMD | |
|
6932 E 1400 S, Fort Duchesne, UT 84026 | |
| (435) 722-5122 | |
| Not Available |
| Full Name | Jake Richardson |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 6932 E 1400 S, Fort Duchesne, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568024347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11308205-9921 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jake Richardson, DMD 412 E 2500 N, Vernal, UT 84078-9595 Ph: (435) 828-8801 | Jake Richardson, DMD 6932 E 1400 S, Fort Duchesne, UT 84026 Ph: (435) 722-5122 |
Craig Blackham, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6822 East 1000 South, Fort Duchesne, UT 84026 Phone: 435-725-6874 | |
Dr. Joseph William Myers, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 6822 East 1000 South, Fort Duchesne Phs Indian Health Center, Fort Duchesne, UT 84026 Phone: 435-725-6874 |