| Steven D. Richardson D.m.d. L.l.c | |
|
1835 Ocean Blvd Se Coos Bay OR 97420 | |
| (541) 269-0620 | |
| (541) 269-9243 |
| Full Name | Steven D. Richardson D.m.d. L.l.c |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1835 Ocean Blvd Se, Coos Bay, Oregon |
| Authorized Official Name and Position | Steven D. Richardson (DENTIST) |
| Authorized Official Contact | 5412690620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven D. Richardson D.m.d. L.l.c 1835 Ocean Blvd S.e. Coos Bay OR 97420 Ph: (541) 269-0620 | Steven D. Richardson D.m.d. L.l.c 1835 Ocean Blvd Se Coos Bay OR 97420 Ph: (541) 269-0620 |
| NPI Number | 1346663895 |
|---|---|
| Provider Enumeration Date | 02/03/2014 |
| Last Update Date | 02/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346663895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4865 (Oregon) | Primary |
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