| Mr Thomas Bryant Richardson, DDS | |
|
1610 W C Pl, Russellville, AR 72801-2705 | |
| (479) 968-8338 | |
| (479) 968-1688 |
| Full Name | Mr Thomas Bryant Richardson |
|---|---|
| Gender | Male |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1610 W C Pl, Russellville, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053486134 | NPI | - | NPPES |
| 150768608 | Medicaid | AZ | |
| 1593213 | Other | AR | UNITED CONCORDIA PROV # |
| 5X544 | Other | AR | BLUE CROSS PROV # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 3422 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas Bryant Richardson, DDS 1610 W C Pl, Russellville, AR 72801-2705 Ph: (479) 968-8338 | Mr Thomas Bryant Richardson, DDS 1610 W C Pl, Russellville, AR 72801-2705 Ph: (479) 968-8338 |
Dr. Jonathan Curlin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 230 N Elmira Ave, Russellville, AR 72802 Phone: 479-213-1790 | |
Dr. Mark D. Helms, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2621 W Main St, Suite 2, Russellville, AR 72801 Phone: 479-968-4068 | |
Dr. James Dustin Bonds, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1919 W Main St, Russellville, AR 72801 Phone: 479-880-2311 Fax: 479-880-2281 | |
Dr. Michael W. Cooper, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 110 S Inglewood Ave, Russellville, AR 72801 Phone: 479-968-4477 | |
Dr. Lance Anthony Lawrence, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1501 W C St, Russellville, AR 72801 Phone: 479-967-7000 | |
Dr. Douglas Alan Griffin, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 200 N Phoenix Ave, Russellville, AR 72801 Phone: 479-968-1655 |