NPI 1013120245

Raymond K. Hendrickson, DDS

Practitioner Dentist Richfield, UT

Practice location

Address: 140 E 200 N, Richfield, UT 84701-2144
Phone: (435) 896-6444

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 2029 (UT)

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Registry record

NPI: 1013120245
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.