Individual
DR. RICHARD RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
139 MARKET STREET, SUITE 107, FORT KENT, ME 04743
(207) 834-3907
(207) 834-3908
Mailing address
P.O. BOX 290, 139 MARKET STREET SUITE 107, FORT KENT, ME 04743
(207) 834-3907
(207) 834-3908
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2406
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000-610591
UNITED CONCORDIA
—
01
—
037354
BLUE CROSS BLUE SHEILD
ME
05
—
125000000
—
ME
05
—
1250000000
—
ME
01
—
R0806
BLUE CROSS FEDERAL
ME
Enumeration date
08/01/2006
Last updated
04/28/2010
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