Individual
MR. RICHARD L CONNELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
853 S MAYO TRL, PAINTSVILLE, KY 41240-1215
(606) 789-7694
(606) 789-7708
Mailing address
853 S MAYO TRL, PAINTSVILLE, KY 41240-1215
(606) 789-7694
(606) 789-7708
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5078
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60050788
—
KY
Enumeration date
09/02/2006
Last updated
08/26/2009
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