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Jake Richardson, D.M.D
NPI 1568024347 · on the registry since 2019 · sole proprietor
Practice
- Address
- 6932 E 1400 S
Fort Duchesne, UT 84026 - Phone
- (435) 722-5122
- Organisation at this address
- Dhhs Ihs Phoenix Area
Dhew Ind Hlth Sv Hlth Svs&Mntal Hlth AdmInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-07-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah