Individual
RICHARD WILLIAM YEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
288 LAFAYETTE ROAD, SUITE 1, PORTSMOUTH, NH 03801
(603) 431-4559
(603) 431-7560
Mailing address
288 LAFAYETTE ROAD, SUITE 1, PORTSMOUTH, NH 03801
(603) 431-4559
(603) 431-7560
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1220
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0208910Y0NH01
ANTHEM BLUE CROSS BLUE SH
—
05
—
89191807
—
NH
Enumeration date
08/04/2006
Last updated
07/08/2007
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