Jacquelyn L. Richardson, DDS

Dentist · Moline, IL

Individual Active NPI

NPI number 1780853366

Practice location

609 35TH Ave Ste 3
Moline, IL 61265-6146
Phone
(309) 762-3015
Fax
(309) 762-1461

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NPI record

NPI
1780853366
Entity type
Individual (Type 1)
Enumeration date
February 27, 2008
Last updated
August 20, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019-026572 IL

About Dr. Richardson

Jacquelyn L. Richardson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 609 35TH Ave Ste 3, Moline, IL 61265-6146. The NPI number 1780853366 was assigned on February 27, 2008 and the record was last updated on August 20, 2014.

Dr. Richardson lists a license in the registry: #019-026572 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacquelyn L. Richardson, DDS?

The NPI number is 1780853366.

What is the phone number of Dr. Richardson?

The phone number listed for the practice location is (309) 762-3015.

Where is Dr. Richardson located?

609 35TH Ave Ste 3, Moline, IL 61265-6146.

What is the taxonomy code for Dr. Richardson?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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