Jimmy J Richardson, DDS

NPI #1053313924 in Moore, Oklahoma

Provider Information

NPI Number: 1053313924
Entity Type: Individual
Name: Jimmy J Richardson, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Aug 11, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 840 SE 4TH ST
Address 2: SUITE 3A
City: Moore
State: Oklahoma
ZIP Code: 73160-7262
Phone: (405) 799-7071

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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