Dr. Richard Todd Crist, D.M.D.
Dentist, General Practice in Madisonville, KY. Individual provider (NPI-1).
NPI number1366474983
StatusActive
Last updated in NPPESMay 16, 2011
Details
- NPI
- 1366474983
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard Todd Crist
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2006
- Last updated
- May 16, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 8199 | KY | Yes |
| 122300000X | Dentist | 8199 | KY |
Practice location
1340 S Main StMadisonville, KY 42431-3342
Phone 270-825-0676 · Fax 270-825-0696
Mailing address
1340 S Main StMadisonville, KY 42431-3342
Phone 270-825-0676 · Fax 270-825-0696
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