DR. Richard John Vansickle, DDS

NPI #1447381926 in Bartlett, Tennessee

Provider Information

NPI Number: 1447381926
Entity Type: Individual
Name: DR. Richard John Vansickle, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Mar 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2835 SUMMER OAKS DR
City: Bartlett
State: Tennessee
ZIP Code: 38134-3812
Phone: (901) 372-7283

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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