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Mr. Thomas Bryant Richardson, DDS
Pediatric Dentist in Russellville, Arkansas
NPI 1053486134

Thomas Bryant Richardson is a Pediatric Dentist based in Russellville, AR and is specialized in Pediatric Dentistry. Thomas Bryant Richardson practices in Russellville, AR and has the professional credentials of DDS. The NPI Number for Thomas Bryant Richardson is 1053486134 and holds a License No. 3422 (Arkansas).

The current practice location address for Thomas Bryant Richardson is 1610 W C Pl, Russellville, AR and can be reached out via phone at 479-968-8338 and via fax at 479-968-1688.

Location: 1610 W C Pl, Russellville, AR, 72801-2705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053486134
Provider Name
Thomas Bryant Richardson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1610 W C Pl, Russellville, AR, 72801-2705
Phone Number
479-968-8338
Fax Number
479-968-1688
Provider Enumeration Date
11/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
150768608 05 AZ
1593213 01 AR UNITED CONCORDIA PROV #
5X544 01 AR BLUE CROSS PROV #
institution
Provider Business Practice Location Address Details
Address
1610 W C Pl
City
Russellville
State
Arkansas
Zip
72801-2705
Phone Number
479-968-8338
Fax Number
479-968-1688
person
Provider Business Mailing Address Details
Address
1610 W C Pl
City
Russellville
State
Arkansas
Zip
72801-2705
Phone Number
479-968-8338
Fax Number
479-968-1688
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
3422 (Arkansas)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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