Mr. Thomas Bryant Richardson
Pediatric Dentist
1610 W C Pl
Russellville
, Arkansas 72801-2705
Mr. Thomas Bryant Richardson
Pediatric Dentist
1610 W C Pl
Russellville
, Arkansas 72801-2705
(479) 968-1688
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Mr. Thomas Bryant Richardson
- 1610 W C Pl
- Russellville, AR
- Zip : 72801-2705
- Fax : (479) 968-1688
- Phone : (479) 968-8338
Second Address
- Mr. Thomas Bryant Richardson
- 1610 W C Pl
- Russellville, AR
- Zip : 72801-2705
- Fax : (479) 968-1688
- Phone : (479) 968-8338
Reviews
FAQs
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What type of doctor is Mr. Thomas Bryant Richardson
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Is Mr. Thomas Bryant Richardson a sole practitioner?
Is Mr. Thomas Bryant Richardson accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 3422 | AR |
National Provider Identifier
| NPI | 1053486134 |
|---|---|
| Provider Name | Mr. Thomas Bryant Richardson |
| First Address | Russellville, AR 72801-2705 |
| Second Address | Russellville, AR 72801-2705 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/11/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 150768608 | (05) | AZ |
| 1593213 | UNITED CONCORDIA PROV # (01) | AR |
| 5X544 | BLUE CROSS PROV # (01) | AR |
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.