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DR. RICHARD K CLARDY D.M.D. NPI 1578543765

NPI Profile

NPI: 1578543765

Provider Name: DR. RICHARD K CLARDY, D.M.D.

Classification: Dentist - 1223G0001X

Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
204 FAIRVIEW PARK DR
DUBLIN, GA
ZIP 31021

Phone: (478) 272-6777

DR. Richard K Clardy, D.M.D. is a general practice dentist in Dublin, GA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Richard K Clardy, D.M.D. NPI is 1578543765. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

204 FAIRVIEW PARK DR
DUBLIN, GA
ZIP 31021-547
Phone: (478) 272-6777
Fax: (478) 272-6716

The NPI 1578543765 is registered in the Medicare Provider, Enrollment, Chain and Ownership System PECOS.

The enumeration date for this NPI number is 1/23/2006 and was last updated on 7/9/2007.

Map - Location of Practice

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 1223G0001X Dentist General Practice DN011080 GEORGIA Yes

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: 8/11/2015