JIMMY RICHARDSON, DDS
Dentist - General Practice
Active
Individual
NPI: 1053313924
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 5126 (OK) |
Frequently Asked Questions
NPI 1053313924 is the National Provider Identifier for JIMMY RICHARDSON, DDS, a Dentist - General Practice provider located in Moore, OK. This NPI was enumerated on August 11, 2005.
JIMMY RICHARDSON, DDS practices at 840 SE 4TH ST, SUITE 3A, Moore, OK 73160.
Quick Facts
- NPI
- 1053313924
- Type
- Individual
- Enumerated
- Aug 11, 2005
- Last Updated
- Jul 8, 2007
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