Jacquelyn L Richardson in Moline - Dentist
Jacquelyn L Richardson - NPI 1780853366
Jacquelyn L Richardson is a Dentist in Moline, Illinois. Jacquelyn L Richardson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jacquelyn L Richardson is 1780853366. The last update date is 2014-08-20.
Jacquelyn L Richardson's current location address is 609 35th Ave Ste 3, Moline, Illinois. You can contact this provider via phone number 3097623015 and fax number 3097621461. The mailing address for Jacquelyn L Richardson is 609 35th Ave Ste 3, Moline, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jacquelyn L Richardson |
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Address | 609 35th Ave Ste 3, Moline, Illinois |
Phone Number | 3097623015 |
Fax Number | 3097621461 |
Sole Proprietor | Y |
Credentials | DDS |
NPI Number Detail
NPI Number | 1780853366 |
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Provider Enumeration Date | 2008-02-27 |
Last Updated Date | 2014-08-20 |
Provider Mailing Address Detail
Address | 609 35th Ave Ste 3 |
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City | Moline |
State | Illinois (IL) |
Post Code | 612656146 |
Phone Number | 3097623015 |
Fax Number | 3097621461 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 019-026572 |
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
9182564 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jacquelyn L Richardson by the Centers for Medicare & Medicaid Services?
The Jacquelyn L Richardson has been issued the NPI (National Provider Identifier) 1780853366 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jacquelyn L Richardson's facilities are geographically located?
The facilities of Jacquelyn L Richardson are physically situated at the following location: 609 35Th Ave Ste 3, Moline, IL, 612656146.
What is Jacquelyn L Richardson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jacquelyn L Richardson is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1780853366 to Jacquelyn L Richardson?
The Centers for Medicare & Medicaid Services assigned the 1780853366 to Jacquelyn L Richardson on 2008-02-27.
When was the information related to Jacquelyn L Richardson most recently updated or refreshed?
The details pertaining to the Jacquelyn L Richardson, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-08-20.
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