Dorothy Jean Richardson
Dental Assistant
1617 N Main St
Poplar Bluff
, Missouri 63901-3445
Dorothy Jean Richardson
Dental Assistant
1617 N Main St
Poplar Bluff
, Missouri 63901-3445
(573) 448-3460
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Dorothy Jean Richardson
- 21818 County Road 312
- Clarkton, MO
- Zip : 63837-8197
- Phone : (573) 448-3460
Second Address
- Dorothy Jean Richardson
- 1617 N Main St
- Poplar Bluff, MO
- Zip : 63901-3445
- Fax : (573) 778-9432
- Phone : (573) 778-3042
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant |
National Provider Identifier
| NPI | 1376632448 |
|---|---|
| Provider Name | Dorothy Jean Richardson |
| First Address | Clarkton, MO 63837-8197 |
| Second Address | Poplar Bluff, MO 63901-3445 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/10/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.