RICHARDSON DMD, INC.


Address: 412 E Pioneer Ave, Suite #2, Homer, AK 99603-7621
Phone: 9072262218

RICHARDSON DMD, INC. (NPI# 1396296620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396296620
Entity Type Organization
Organization Name RICHARDSON DMD, INC.
Practice Address 412 E Pioneer Ave
Suite #2
Homer
AK 99603-7621
Practice Telephone 9072262218
Mailing Telephone 9072262218
Enumeration Date 2016-10-21
Last Update Date 2016-10-21
Authorized Official Name DR. WILLIAM RICHARDSON (PRESIDENT)
Authorized Official Telephone 9072295778
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
1039387 AK Ambulatory Health Care Facilities

Office Location

Street Address 412 E PIONEER AVE
SUITE #2
City HOMER
State AK
Zip Code 99603-7621

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NPI Name Taxonomy Address Enumeration
1518572387 Morgan Dwyer Counselor 51310 Timber Bay Ct, Homer, AK 99603 2020-09-09
1346859824 John George Hetrick Counselor 51310 Timber Bay Ct., Homer, AK 99603 2020-07-30
1093352502 Katieostrommd Obstetrics & Gynecology 205 W Fairview, Homer, AK 99603 2019-12-03
1023651965 Melissa Elizabeth Malcolm Physical Therapy Assistant 4107 Hohe Ave, Homer, AK 99603 2019-10-23
1184143620 Homer Birth and Wellness Center Clinic/Center 3902 Shelford Street, Homer, AK 99603 2017-09-15
1588913271 Sharon Marie Gorman Registered Nurse 3959 Ben Walters, Homer, AK 99603 2012-09-10
1477802197 Aldergrove Assisted Living Community Based Residential Treatment Facility, Mental Illness 41045 Denny Lane, Homer, AK 99603 2012-09-10
1194087551 Stephen Michael Mueller Pharmacist 3858 Lake Street, Suite #5, Lakeside Mall, Homer, AK 99603 2012-06-12
1962778001 Homer Dental Center Inc Dentist 4014 Lake St., Ste 210, Homer, AK 99603 2012-03-22
1346544368 William R Easton General Practice 2495 Bayridge Rd, Homer, AK 99603 2011-01-05
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497234447 Norton Family Dentistry,llc Clinic/Center 627 N Main St, Homer, LA 71040-3846 2018-08-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962011593 Deyoung Dentistry, LLC Clinic/Center 2601 Boniface Parkway Suite 1, Anchorage, AK 99504 2020-07-29
1205461084 Hawkinson Dental Inc Clinic/Center 6200 Lake Otis Pkwy Ste 101, Anchorage, AK 99507-2098 2020-03-11
1982238622 Donald R Mclean Clinic/Center 3719 E Meridian Loop Ste B, Wasilla, AK 99654-7273 2020-03-02
1740745439 Susan Olson Dmd Inc Clinic/Center 3261 S. Big Lake Rd. Ste D3-d4, Big Lake, AK 99652 2019-02-06
1932664877 Alaska Family Dental LLC Clinic/Center 405 W 36th Ave Ste 101, Anchorage, AK 99503-5872 2019-02-05
1174016737 Lake Road Dental LLC Clinic/Center 4622 Shannon Lake Rd, Dillingham, AK 99576 2018-06-08
1659862134 Evelyn Haley Dmd Clinic/Center 615 E 82nd Ave Ste 100, Anchorage, AK 99518-3100 2018-05-21
1891285433 Alaskan Family Dental Center LLC Clinic/Center 281 N Main St Ste 201, Wasilla, AK 99654-7046 2018-05-17
1376051797 Caroline Curtis Dmd PC Clinic/Center 16635 Centerfield Dr Ste 207, Eagle River, AK 99577-7746 2018-01-19
1417475716 Michael G. Crookston Dds PC Clinic/Center 11723 Old Glenn Hwy Ste 207, Eagle River, AK 99577-7750 2017-09-07
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Competitor

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City HOMER
Zip Code 99603

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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