| Richardson Dmd, Inc. | |
|
412 E Pioneer Ave Suite #2 Homer AK 99603-7621 | |
| (907) 226-2218 | |
| Not Available |
| Full Name | Richardson Dmd, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 412 E Pioneer Ave, Homer, Alaska |
| Authorized Official Name and Position | William Richardson (PRESIDENT) |
| Authorized Official Contact | 9072295778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richardson Dmd, Inc. 412 E Pioneer Ave Suite #2 Homer AK 99603-7621 Ph: (907) 226-2218 | Richardson Dmd, Inc. 412 E Pioneer Ave Suite #2 Homer AK 99603-7621 Ph: (907) 226-2218 |
| NPI Number | 1396296620 |
|---|---|
| Provider Enumeration Date | 10/21/2016 |
| Last Update Date | 10/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396296620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1039387 (Alaska) | Primary |
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