Brian J Richards in Moline - Pediatric Dentistry
Brian J Richards - NPI 1275686446
Brian J Richards is a Pediatric Dentistry in Moline, Illinois. Brian J Richards practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Brian J Richards is 1275686446. The last update date is 2018-01-22.
Brian J Richards's current location address is 1872 Avenue Of The Cities, Moline, Illinois. You can contact this provider via phone number 3097973020 and fax number 3097973212. The mailing address for Brian J Richards is 1872 Avenue Of The Cities, Moline, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian J Richards |
|---|---|
| Address | 1872 Avenue Of The Cities, Moline, Illinois |
| Phone Number | 3097973020 |
| Fax Number | 3097973212 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1275686446 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2018-01-22 |
Provider Mailing Address Detail
| Address | 1872 Avenue Of The Cities |
|---|---|
| City | Moline |
| State | Illinois (IL) |
| Post Code | 612654878 |
| Phone Number | 3097973020 |
| Fax Number | 3097973212 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 19025264 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the unique 10-digit identifier code issued to Brian J Richards by the Centers for Medicare & Medicaid Services?
The Brian J Richards has been assigned the NPI (National Provider Identifier) 1275686446 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Brian J Richards?
The Brian J Richards is physically situated at 1872 Avenue Of The Cities, in the city of Moline, state of IL, with the postal code 612654878.
What is the Brian J Richards's area of specialization and corresponding taxonomy classification?
The Brian J Richards's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1275686446 to Brian J Richards?
The Brian J Richards received its 1275686446 assignment from the Centers for Medicare & Medicaid Services on 2007-01-19.
As of what date was the information regarding Brian J Richards, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brian J Richards, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-01-22.
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