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Contact Information

LEROY RICHARDSON, DDS
100 NW 9TH ST
CHECOTAH, OK74426
 Phone: 918-473-3700
 Fax: 918-473-3317
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for LEROY RICHARDSON · (Male)

NPI Number 1659438653
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 01/02/2007
Last updated 01/16/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 11482
  • OK License # 5986
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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