Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAKE RICHARDSON, D.M.D.
Active Sole ProprietorJAKE RICHARDSON, D.M.D. is a General Dentistry healthcare provider located in FORT DUCHESNE, Utah. NPI 1568024347 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · FORT DUCHESNE, UT
Registration Details
- NPI Number
- 1568024347
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 2, 2019 (6.9360538988251 yrs)
- Last Updated
- Jul 2, 2019
- License
-
11308205-9921 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6932 E 1400 SFORT DUCHESNE, UT, 84026Browse UT providers · Browse ZIP 84026
- Phone
- 4357225122
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in FORT DUCHESNE, UT
| Name | Credential | NPI |
|---|---|---|
| DR. JOSEPH WILLIAM MYERS | DMD | 1942396643 |
| CRAIG BLACKHAM | DDS | 1881724417 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.