DR. Leroy Richardson, DDS

NPI #1659438653 in Checotah, Oklahoma

Provider Information

NPI Number: 1659438653
Entity Type: Individual
Name: DR. Leroy Richardson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 2, 2007
Last Updated: Jan 16, 2008

Practice Location

Address: 100 NW 9TH ST
City: Checotah
State: Oklahoma
ZIP Code: 74426
Phone: (918) 473-3700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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