Individual
DR. RICHARD A DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12 MAPLEVILLE DEPOT, ST ALBANS, VT 05478
(802) 527-1227
(802) 527-3767
Mailing address
12 MAPLEVILLE DEPOT, ST ALBANS, VT 05478
(802) 527-1227
(802) 527-3767
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016-0000578
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001714
—
VT
Enumeration date
03/30/2007
Last updated
07/08/2007
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