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Individual

DR. RICHARD JOHN VANSICKLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2835 SUMMER OAKS DR, BARTLETT, TN 38134-3812
(901) 372-7283
(901) 372-1423
Mailing address
2835 SUMMER OAKS DR, BARTLETT, TN 38134-3812
(901) 372-7283
(901) 372-1423

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS3846
TN

Other

Enumeration date
03/08/2007
Last updated
07/08/2007
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