DR. Richard William Standage, DMD

NPI #1790984896 in Ft Bliss, Texas

Provider Information

NPI Number: 1790984896
Entity Type: Individual
Name: DR. Richard William Standage, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jul 17, 2007
Last Updated: Jun 16, 2016

Practice Location

Address: BLDG 128 CHAFFEE RD.
Address 2: FORT BLISS DENTAC
City: Ft Bliss
State: Texas
ZIP Code: 79916
Phone: (915) 742-6001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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