Richard John Prichard in Soddy Daisy - Pediatric Dentistry
Richard John Prichard - NPI 1578554085
Richard John Prichard is a Pediatric Dentistry in Soddy Daisy, Tennessee. Richard John Prichard practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Richard John Prichard is 1578554085. The last update date is 2007-07-08.
Richard John Prichard's current location address is 10480 Walden St, Soddy Daisy, Tennessee. You can contact this provider via phone number 4233325544 and fax number 4233321228. The mailing address for Richard John Prichard is 10480 Walden St, Soddy Daisy, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Name | Richard John Prichard |
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Address | 10480 Walden St, Soddy Daisy, Tennessee |
Phone Number | 4233325544 |
Fax Number | 4233321228 |
Sole Proprietor | X |
Credentials | DDS |
NPI Number Detail
NPI Number | 1578554085 |
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Provider Enumeration Date | 2005-11-03 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 10480 Walden St |
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City | Soddy Daisy |
State | Tennessee (TN) |
Post Code | 373795441 |
Phone Number | 4233325544 |
Fax Number | 4233321228 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dentistry |
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Taxonomy | 1223P0221X |
Licence No | DS4212 |
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 |
---|---|---|---|
3202494 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Richard John Prichard by the Centers for Medicare & Medicaid Services (CMS)?
The Richard John Prichard has been assigned the NPI (National Provider Identifier) 1578554085. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Richard John Prichard?
The Richard John Prichard is physically situated at 10480 Walden St, in the city of Soddy Daisy, state of TN, with the postal code 373795441.
What is Richard John Prichard's specialized field of practice, and what is the corresponding taxonomy classification code?
The Richard John Prichard's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date did Richard John Prichard receive its 1578554085 assignment from the Centers for Medicare & Medicaid Services?
The Richard John Prichard was assigned its 1578554085 on 2005-11-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Richard John Prichard most recently updated or revised?
The information pertaining to Richard John Prichard, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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