# RICHARD G. HENRY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Valverde Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114192911
- **Authorized official:** DEBORAH P SPLAWN (BUSINESS ASSISTANT)
- **Authorized official phone:** (580) 482-0441

## Contact information

- **Practice address:** 112 VAL VERDE, ALTUS, OK 73521
- **Practice address phone:** (580) 482-0441
- **Practice address fax:** (580) 482-0443
- **Mailing address:** 112 VAL VERDE, ALTUS, OK 73521
- **Mailing address phone:** (580) 482-0441
- **Mailing address fax:** (580) 482-0443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4246 | OK | — |
| 122300000X | Dentist | 4975 | OK | Yes |
| 122300000X | Dentist | 6043 | OK | — |
| 302R00000X | Health Maintenance Organization | 4975 | OK | — |

## Other

- **Enumeration date:** 04/23/2008
- **Last updated:** 08/25/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1225377925 | NPI 1 JON G. HOLMAN | OK |
| 01 | — | 1487681011 | NPI 1 RICHARD HENRY | OK |