William David Rich, DDS

Individual provider Active NPI General Practice Dentistry · Lexington, MO

NPI 1235201641 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1235201641
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
12315 (MO)
Practice address
2104 Main St
Lexington, MO 64067-1822
Phone
(660) 259-6223
Fax
(660) 259-6631
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
12315MOMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12315 MO Yes

Addresses

Primary practice location

2104 Main St
Lexington, MO 64067-1822

Mailing address

2104 Main St
Lexington, MO 64067-1822
Phone (660) 259-6223

Other providers in Lexington, MO

All providers in Lexington, MO · General Practice Dentistry in Missouri

Sources for this page

Verify at the official NPI Registry.