Individual provider · Type 1 NPI

John Joseph Richard, DDS

Oral and Maxillofacial Surgery (Dentist) · Crystal Lake, IL

NPI number 1700865441 Active

Practice location

690 North Route 31
Crystal Lake, IL 60012

Fax (815) 459-5601

Mailing address

9915 Carlisle Ln
Village Of Lakewood, IL 60014-4819

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1700865441

John Joseph Richard, DDS's National Provider Identifier is 1700865441, issued on Jan 11, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Crystal Lake, IL. The record was last updated on Jul 8, 2007.