# RICHARD R. NOWAKOWSKI, DDS, LLC

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

## Provider details

- **NPI number:** 1972723930
- **Authorized official:** RICHARD ROY NOWAKOWSKI DDS (OWNER)
- **Authorized official phone:** (765) 288-2040

## Contact information

- **Practice address:** 3701 N EVERETT RD, MUNCIE, IN 47304-5610
- **Practice address phone:** (765) 288-2040
- **Practice address fax:** (765) 288-2074
- **Mailing address:** 3701 N EVERETT RD, MUNCIE, IN 47304-5610
- **Mailing address phone:** (765) 288-2040
- **Mailing address fax:** (765) 288-2074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12008600A | IN | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 08/22/2020