J J Richardson DDS Pllc

NPI #1134393036 in Moore, Oklahoma

Provider Information

NPI Number: 1134393036
Entity Type: Organization
Organization Name: J J Richardson DDS Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 22, 2008
Last Updated: Apr 22, 2008

Practice Location

Address: 840 SE 4TH ST
Address 2: SUITE 3A
City: Moore
State: Oklahoma
ZIP Code: 73160-7263
Phone: (405) 799-7071

Authorized Official

Name: DR. JIMMY J RICHARDSON, DDS
Title: OWNER
Phone: (405) 799-7071

Specialties & Taxonomy Codes

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

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