JOHN V.D. RICHARDSON DDS. INC NPI 1033509435

NPI Information

NPI: 1033509435
Provider Name: JOHN V.D. RICHARDSON, DDS., INC

Other Name: JOHN D RICHARDSON DDS

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1409 WHITLEY AVE
SUITE D
CORCORAN, CA
ZIP 93212
Phone: (559) 992-4138
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JOHN V.D. RICHARDSON, DDS., INC is a dental clinic center in Corcoran, CA. JOHN V.D. RICHARDSON, DDS., INC NPI is 1033509435. The provider is registered as an organization entity type.
The provider Other Name Is John D Richardson Dds.

The provider's business location address is:

1409 WHITLEY AVE
SUITE D
CORCORAN, CA
ZIP 93212-223
Phone: (559) 992-4138
Fax: (559) 992-4079

The provider's authorized official is John Vernon Dale Richardson .
The authorized official title is President and has the following contact phone number (559) 992-4138.

The enumeration date for this NPI number is 1/23/2015 and was last updated on 1/23/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	39700	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1223000000X	OTHER		TAXONOMY CODE
2	1255480406	OTHER		INDIVIDUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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