Jack Richardson in Bradenton - General Practice

Jack Richardson - NPI 1487863593

Jack Richardson is a General Practice in Bradenton, Florida. Jack Richardson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jack Richardson is 1487863593. The last update date is 2007-07-08.

Jack Richardson's current location address is 3633 Cortez Rd W, Bradenton, Florida. You can contact this provider via phone number 9417535857 and fax number 9417536186. The mailing address for Jack Richardson is 3633 Cortez Rd W, Bradenton, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack Richardson
Address 3633 Cortez Rd W, Bradenton, Florida
Phone Number 9417535857
Fax Number 9417536186
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1487863593
Provider Enumeration Date 2007-05-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3633 Cortez Rd W
City Bradenton
State Florida (FL)
Post Code 342103119
Phone Number 9417535857
Fax Number 9417536186

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DN4155
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Jack Richardson

What is the unique 10-digit identifier code issued to Jack Richardson by the Centers for Medicare & Medicaid Services?

The Jack Richardson has been assigned the NPI (National Provider Identifier) 1487863593 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Jack Richardson is located?

The Jack Richardson is situated at the following address: 3633 Cortez Rd W, Bradenton, FL, 342103119.

What is Jack 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 Jack Richardson is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

When was the Jack Richardson's 1487863593 issued?

The Jack Richardson's 1487863593 was issued on 2007-05-22.

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

The information pertaining to Jack Richardson, 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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