Richard Joseph Bollon in Jericho - Dentist

Richard Joseph Bollon - NPI 1346357605

Richard Joseph Bollon is a Dentist in Jericho, New York. Richard Joseph Bollon practices all healthcare services and medical treatments related to Dentist. The NPI Number for Richard Joseph Bollon is 1346357605. The last update date is 2007-07-08.

Richard Joseph Bollon's current location address is 366 North Broadway, Jericho, New York. You can contact this provider via phone number 5168222131 and fax number 5168220534. The mailing address for Richard Joseph Bollon is 366 North Broadway, Jericho, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Joseph Bollon
Address 366 North Broadway, Jericho, New York
Phone Number 5168222131
Fax Number 5168220534
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1346357605
Provider Enumeration Date 2006-08-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 366 North Broadway
City Jericho
State New York (NY)
Post Code 11753
Phone Number 5168222131
Fax Number 5168220534

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 29679
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
29679 NY NYS LICENSE

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FAQs about Richard Joseph Bollon

What is the Richard Joseph Bollon's unique identification number?

The Richard Joseph Bollon has been assigned the NPI (National Provider Identifier) Number 1346357605 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Richard Joseph Bollon's physical address?

The Richard Joseph Bollon is physically located at 366 North Broadway, in the city of Jericho, NY, with the postal code 11753.

What is Richard Joseph Bollon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Richard Joseph Bollon is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.

On what date did the Richard Joseph Bollon receive its 1346357605 assignment from the Centers for Medicare & Medicaid Services?

The Richard Joseph Bollon was assigned its 1346357605 by the Centers for Medicare & Medicaid Services on 2006-08-24.

When was the information regarding Richard Joseph Bollon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Richard Joseph Bollon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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