Whalio Doctors

NPI 1376632448

Dorothy Jean Richardson

Practitioner Dental Assistant Poplar Bluff, MO

Practice location

Address
1617 N Main St, Poplar Bluff, MO 63901-3445
Phone
(573) 778-3042
Fax
(573) 778-9432
Mailing address
21818 County Road 312, Clarkton, MO 63837-8197

Registered specialties

Dental Assistant Primary
Dental Providers Taxonomy 126800000X

Registry record

NPI
1376632448
Entity type
Individual
Sex (as registered)
Female
NPI issued
12 Oct 2006
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.