Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 4768 | LA |
NPI | 1114075710 |
---|---|
Provider Name | Dr. Richard S Appleton |
First Address | Baton Rouge, LA 70809-3089 |
Second Address | Baton Rouge, LA 70809-3089 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 29/06/2016 |