Organization
RICHARD C. RIBEIRO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD C RIBEIRO DDS (DENTIST)
(931) 645-6362
Entity
Organization
Contact information
Practice address
2305 RUDOLPHTOWN ROAD, CLARKSVILLE, TN 37043
(931) 645-6362
(931) 645-6369
Mailing address
2305 RUDOLPHTOWN ROAD, CLARKSVILLE, TN 37043
(931) 645-6362
(931) 645-6369
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7505
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7505
DENTAL LICENSE
TN
Enumeration date
07/13/2007
Last updated
04/20/2010
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