Dr. Kenneth E Richardson is a Boise, Idaho based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Kenneth E Richardson is D1383 for General Practice Dentistry in Idaho. His current practice location is 2720 Overland Road, Boise. Patients can reach him at 208-345-5875.
Dr. Kenneth E Richardson is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Kenneth E Richardson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Kenneth E Richardson
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
2720 Overland Road, Boise, Idaho, 83705
Phone:
208-345-5875
Fax:
208-345-8412
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1053407585
NPI Enumeration Date:
04 Oct, 2006
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenneth E Richardson are as mentioned below.
License Number
Specialization
State
Status
D1383
General Practice Dentistry
Idaho
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kenneth E Richardson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
D1383
Other
Idaho
IDAHO STATE LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2720 Overland Road, Boise, Idaho
Zip:
83705
Phone Number:
208-345-5875
Fax Number:
208-345-8412
Patients can reach Dr. Kenneth E Richardson at 2720 Overland Road, Boise, Idaho or can call to book an appointment on 208-345-5875. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.