Richard Lee Anderson in Racine - Dentist
Richard Lee Anderson - NPI 1962626051
Richard Lee Anderson is a Dentist in Racine, Wisconsin. Richard Lee Anderson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Richard Lee Anderson is 1962626051. The last update date is 2007-07-08.
Richard Lee Anderson's current location address is 3019 Washington Ave, Racine, Wisconsin. You can contact this provider via phone number 2626333301. The mailing address for Richard Lee Anderson is 3019 Washington Ave, Racine, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Lee Anderson |
|---|---|
| Address | 3019 Washington Ave, Racine, Wisconsin |
| Phone Number | 2626333301 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1962626051 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3019 Washington Ave |
|---|---|
| City | Racine |
| State | Wisconsin (WI) |
| Post Code | 53405 |
| Phone Number | 2626333301 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 0866G |
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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 |
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What is the unique 10-digit identifier code issued to Richard Lee Anderson by the Centers for Medicare & Medicaid Services?
The Richard Lee Anderson has been assigned the NPI (National Provider Identifier) 1962626051 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Richard Lee Anderson's facilities are geographically located?
The facilities of Richard Lee Anderson are physically situated at the following location: 3019 Washington Ave, Racine, WI, 53405.
What is the Richard Lee Anderson's area of specialization and corresponding taxonomy classification?
The Richard Lee Anderson's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
When was the Richard Lee Anderson's 1962626051 issued?
The Richard Lee Anderson's 1962626051 was issued on 2007-04-12.
As of what date were the Richard Lee Anderson's details last updated?
The information pertaining to the Richard Lee Anderson, including its address, specialty, and other details, was most recently updated on 2007-07-08.