Richard Stuart Dillon Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6126 Issued in OK

Practice address

720 W Grand Ave
Chickasha, OK 73018-5743

Phone

(405) 224-1311

NPI assigned

Jul 2, 2009

Last updated

Jul 2, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richard S Dillon DDS PC

  • General Practice Dentistry
  • Chickasha, OK
  • NPI 1134826449
  NPD Authorized official
• Grand Avenue Dental Studio

  • Dental Clinic/Center
  • Chickasha, OK
  • NPI 1356047922
  NPD
• Grand Avenue Dental Studio

  • General Practice Dentistry
  • Chickasha, OK
  • NPI 1952007528
  NPD

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246492800000",
    "number": "1689803314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W GRAND AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730185743",
            "telephone_number": "405-224-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W GRAND AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730185743",
            "telephone_number": "405-224-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "RICHARD",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carrie Louise Ditmore
• Amy Doan, M.ED. CCC-SLP
• Teagan Rae Dorsey, APRN-CNP
• Andrew Dozier
• Tiamara Drew, LMFT

• Dentist in Chickasha, OK
• Providers in Chickasha, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.