Individual
HARRY ED RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
121 MAIN ST, BROOKVILLE, PA 15825-1212
(814) 849-3400
(814) 849-5522
Mailing address
121 MAIN ST, BROOKVILLE, PA 15825-1212
(814) 849-3400
(814) 849-5522
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS022430L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010846310001
—
PA
01
—
135702
UNITED CONCORDIA
PA
01
—
71016
GEISINGER
PA
Enumeration date
04/06/2006
Last updated
10/18/2011
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