# DR. RICHARD DOWNEY FITZGERALD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1104922186
- **Gender:** Man
- **Credential:** D.D.S

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4008 | NE | Yes |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0005998396 | AETNA | NE |
| 05 | — | 47056342201 | — | NE |
| 01 | — | 4902 | BLUE CROSS BLUE SHIELD | NE |
| 01 | — | 872534 | UNITED CONCORDIA | NE |
| 01 | — | DN710 | FEDS HEAL | NE |