Lisa Anne Richards in Willoughby - Pediatric Dentistry

Lisa Anne Richards - NPI 1013139492

Lisa Anne Richards is a Pediatric Dentistry in Willoughby, Ohio. Lisa Anne Richards practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Lisa Anne Richards is 1013139492. The last update date is 2007-07-08.

Lisa Anne Richards's current location address is 4699 Hamann Pkwy, Willoughby, Ohio. You can contact this provider via phone number 4409420860 and fax number 4409511246. The mailing address for Lisa Anne Richards is 4699 Hamann Pkwy, Willoughby, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa Anne Richards
Address 4699 Hamann Pkwy, Willoughby, Ohio
Phone Number 4409420860
Fax Number 4409511246
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1013139492
Provider Enumeration Date 2007-05-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4699 Hamann Pkwy
City Willoughby
State Ohio (OH)
Post Code 440945631
Phone Number 4409420860
Fax Number 4409511246

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 18715
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
699856 OH --

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FAQs about Lisa Anne Richards

What is the unique 10-digit identifier code assigned to Lisa Anne Richards by the Centers for Medicare & Medicaid Services?

The Lisa Anne Richards has been issued the NPI (National Provider Identifier) 1013139492 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Lisa Anne Richards is located?

The Lisa Anne Richards is situated at the following address: 4699 Hamann Pkwy, Willoughby, OH, 440945631.

What is Lisa Anne Richards's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Lisa Anne Richards is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.

When was the Lisa Anne Richards's 1013139492 issued?

The Lisa Anne Richards's 1013139492 was issued on 2007-05-03.

As of what date was the information pertaining to Lisa Anne Richards, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Lisa Anne Richards, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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