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Contact Information

RICHARD A CHAMPANY, DDS MPH
US HWY 491 NORTH
SHIPROCK, NM87420
 Phone: 505-368-6401
 Fax: 505-368-6431
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for RICHARD A CHAMPANY · (Male)

NPI # 1922096643
Status Active
Credentials DDS MPH
Entity Individual
Enumeration date 10/06/2005
Last updated 09/18/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 3962
  • NM License # 1783
  • AZ Medicaid 434910
  • CO Medicaid 31730558
  • NM Medicaid R5276
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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