Russell T Richardson in Panama City Beach - General Practice

Russell T Richardson - NPI 1871705335

Russell T Richardson is a General Practice in Panama City Beach, Florida. Russell T Richardson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Russell T Richardson is 1871705335. The last update date is 2007-07-08.

Russell T Richardson's current location address is 17350 Panama City Beach Pkwy, Panama City Beach, Florida. You can contact this provider via phone number 8502303364 and fax number 8502339434. The mailing address for Russell T Richardson is 17350 Panama City Beach Pkwy, Panama City Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Russell T Richardson
Address 17350 Panama City Beach Pkwy, Panama City Beach, Florida
Phone Number 8502303364
Fax Number 8502339434
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1871705335
Provider Enumeration Date 2007-05-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 17350 Panama City Beach Pkwy
City Panama City Beach
State Florida (FL)
Post Code 324136039
Phone Number 8502303364
Fax Number 8502339434

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DN17561
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DN17561 FL MEDICAL LISCENSE #

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FAQs about Russell T Richardson

What is the unique provider identifier assigned to Russell T Richardson?

The Russell T Richardson has been issued the NPI (National Provider Identifier) 1871705335 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Russell T Richardson is geographically located?

The Russell T Richardson is physically situated at the following location: 17350 Panama City Beach Pkwy, Panama City Beach, FL, 324136039.

What is Russell T Richardson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Russell T Richardson's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date was the 1871705335 assigned to Russell T Richardson?

The Russell T Richardson was issued its 1871705335 on 2007-05-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Russell T Richardson's details last updated?

The information pertaining to the Russell T Richardson, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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