JAKE RICHARDSON, D.M.D.
Dentist - General Practice
Active
Individual
NPI: 1568024347
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 11308205-9921 (UT) |
Frequently Asked Questions
NPI 1568024347 is the National Provider Identifier for JAKE RICHARDSON, D.M.D., a Dentist - General Practice provider located in Fort Duchesne, UT. This NPI was enumerated on July 2, 2019.
JAKE RICHARDSON, D.M.D. practices at 6932 E 1400 S, Fort Duchesne, UT 84026.
Quick Facts
- NPI
- 1568024347
- Type
- Individual
- Enumerated
- Jul 2, 2019
- Last Updated
- Jul 2, 2019
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