Richard C. Mullens, DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN 12370 Issued in FL

Legal business name

RICHARD C. MULLENS, DDS PLLC

Practice address

3215 Hendricks Ave
Suite 1
Jacksonville, FL 32207-4280

Phone

(904) 399-3163

Fax

(904) 399-5999

NPI assigned

Jan 22, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Richard Chandler Mullens, D.D.S.

Title

Managing Member

Phone

(904) 399-3163

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485043200000",
    "number": "1487191094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 HENDRICKS AVE",
            "address_2": "SUITE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074280",
            "telephone_number": "904-399-3163",
            "fax_number": "904-399-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 HENDRICKS AVE",
            "address_2": "SUITE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074280",
            "telephone_number": "904-399-3163",
            "fax_number": "904-399-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD C. MULLENS, DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-22",
        "last_updated": "2017-01-22",
        "status": "A",
        "authorized_official_last_name": "MULLENS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CHANDLER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "904-399-3163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN 12370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Rich, PHARM D
• Jessica Loveland Rich, MS CCC-SLP
• Kathryn K. Rich, MSW
• Lauren Michelle Rich
• Meshall D Rich
• Richard E. Nay PHD Inc
• Richard G Wallis MD PA
• Richard M Blecha, M.D., LLC
• Richard W Blake DDS PA
• Alyssia Richard

• Dental Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.