Leroy Richardson is a Dentist in Checotah, Oklahoma. Leroy Richardson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Leroy Richardson is 1659438653. The last update date is 2008-01-16.
Leroy Richardson's current location address is 100 Nw 9th St, Checotah, Oklahoma. You can contact this provider via phone number 9184733700 and fax number 9184733317. The mailing address for Leroy Richardson is 100 Nw 9th St, Checotah, Oklahoma. To know further, please read the information below!
Provider Profile Detail
Provider Name | Leroy Richardson |
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Address | 100 Nw 9th St, Checotah, Oklahoma |
Phone Number | 9184733700 |
Fax Number | 9184733317 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1659438653 |
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Provider Enumeration Date | 2007-01-02 |
Last Updated Date | 2008-01-16 |
Provider Mailing Address Detail
Address | 100 Nw 9th St |
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City | Checotah |
State | Oklahoma (OK) |
Post Code | 74426 |
Phone Number | 9184733700 |
Fax Number | 9184733317 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 11482 |
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 |
Post Comment/ Review Below
What is the unique provider identifier assigned to Leroy Richardson?
The Leroy Richardson has been issued the NPI (National Provider Identifier) 1659438653 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Leroy Richardson's physical address?
The Leroy Richardson is physically located at 100 Nw 9Th St, in the city of Checotah, OK, with the postal code 74426.
What is Leroy Richardson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Leroy Richardson's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1659438653 to Leroy Richardson?
The Centers for Medicare & Medicaid Services assigned the 1659438653 to Leroy Richardson on 2007-01-02.
As of what date were the details related to Leroy Richardson most recently updated or revised?
The information pertaining to Leroy Richardson, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-16.
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