Richard Davidson, D.M.D
NPI 1952462749 · on the registry since 2006 · sole proprietor
Practice
- Address
- 703 N Niles Ave
Tuscola, IL 61953 - Phone
- (217) 253-5216
- Fax
- (217) 253-4949
- Organisation at this address
- Prairie Circle Dental, P.C.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Illinois