Richard Thomas Orrick, DMD, MSD
Individual provider Active NPI Endodontics · Town and Country, MO
NPI 1811097892 · NPPES record last updated Aug 24, 2022
Key facts
- NPI
- 1811097892
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endodontics 1223E0200X
- License
- 2003016228 (MO)
- Practice address
- 14377 Woodlake Dr Ste 102
Town and Country, MO 63017-5735 - Phone
- (636) 681-3636
- Fax
- (314) 455-7190
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003016228 | MO | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Dental Offices of Jaron Wedding D.D.S., M.S.D., and Richard Orrick | Endodontics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 2003016228 | MO | Yes |
Addresses
Primary practice location
14377 Woodlake Dr Ste 102
Town and Country, MO 63017-5735
Mailing address
14377 Woodlake Dr Ste 102
Town and Country, MO 63017-5735
Phone (636) 681-3636
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All providers in Town and Country, MO · Endodontics in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.