Individual
JAKE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6932 E 1400 S, FORT DUCHESNE, UT 84026
(435) 722-5122
Mailing address
412 E 2500 N, VERNAL, UT 84078-9595
(435) 828-8801
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11308205-9921
UT
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us