Individual
JOHN RICHARD BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2701 DUKE STREET, HARRISBURG, PA 17111
(717) 561-0706
Mailing address
2701 DUKE STREET, HARRISBURG, PA 17111
(717) 561-0706
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
022855
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
663681
UNITED CONCORDIA
PA
Enumeration date
07/12/2006
Last updated
07/08/2007
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