Mr. Thomas Bryant Richardson is a Russellville, Arkansas based Pediatric Dentist who is specialized in Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mr. Thomas Bryant Richardson is 3422 for Pediatric Dentistry in Arkansas. His current practice location is 1610 W C Pl, Russellville. Patients can reach him at 479-968-8338.
Mr. Thomas Bryant Richardson provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Mr. Thomas Bryant 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:
Mr. Thomas Bryant Richardson
Specialization:
Pediatric Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
1610 W C Pl, Russellville, Arkansas, 72801-2705
Phone:
479-968-8338
Fax:
479-968-1688
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:
1053486134
NPI Enumeration Date:
22 Nov, 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 Mr. Thomas Bryant Richardson are as mentioned below.
License Number
Specialization
State
Status
3422
Pediatric Dentistry
Arkansas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Thomas Bryant Richardson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
150768608
Medicaid
Arizona
1593213
Other
Arkansas
UNITED CONCORDIA PROV #
5X544
Other
Arkansas
BLUE CROSS PROV #
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1610 W C Pl, Russellville, Arkansas
Zip:
72801-2705
Phone Number:
479-968-8338
Fax Number:
479-968-1688
Patients can reach Mr. Thomas Bryant Richardson at 1610 W C Pl, Russellville, Arkansas or can call to book an appointment on 479-968-8338. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.