Individual provider · Type 1 NPI

Dorothy Jean Richardson

Dental Assistant · Poplar Bluff, MO

NPI number 1376632448 Active

Practice location

1617 N Main St
Poplar Bluff, MO 63901-3445

Fax (573) 778-9432

Mailing address

21818 County Road 312
Clarkton, MO 63837-8197

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000XNone listed

Dental Assistant: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the d…

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About NPI 1376632448

Dorothy Jean Richardson's National Provider Identifier is 1376632448, issued on Oct 12, 2006. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Jul 8, 2007.