| Richmond Dental, Llc | |
|
205 S Spartan Dr Richmond MO 64085-1877 | |
| (816) 776-7134 | |
| Not Available |
| Full Name | Richmond Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 205 S Spartan Dr, Richmond, Missouri |
| Authorized Official Name and Position | Kathy L. Smith (INSURANCE COORDINATOR) |
| Authorized Official Contact | 8165804191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richmond Dental, Llc Po Box 496 Lawson MO 64062-0496 Ph: (816) 580-4191 | Richmond Dental, Llc 205 S Spartan Dr Richmond MO 64085-1877 Ph: (816) 776-7134 |
| NPI Number | 1841856341 |
|---|---|
| Provider Enumeration Date | 05/10/2019 |
| Last Update Date | 05/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841856341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Steven W Fawks Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 S Spartan Dr, Richmond, MO 64085 Phone: 816-776-7134 Fax: 816-470-5191 |