# RICHARD L BRISCOE DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629131255
- **Authorized official:** RICHARD L BRISCOE DDS (DENTIST PRESIDENT)
- **Authorized official phone:** (620) 669-1032

## Contact information

- **Practice address:** 1710 E 23RD, HUTCHINSON, KS 67502
- **Practice address phone:** (620) 669-0619
- **Practice address fax:** (620) 669-1040
- **Mailing address:** 1710 E 23RD, HUTCHINSON, KS 67502
- **Mailing address phone:** (620) 669-0619
- **Mailing address fax:** (620) 669-1040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 08/22/2020