Richard C. Ribeiro
Clinic/Center, Dental in Clarksville, TN. Organization (NPI-2).
NPI number1457550006
StatusActive
Last updated in NPPESApr 20, 2010
Details
- NPI
- 1457550006
- Entity type
- Organization (NPI-2)
- Legal business name
- Richard C. Ribeiro
- Organization subpart
- No
- Enumeration date
- Jul 13, 2007
- Last updated
- Apr 20, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 7505 | TN | Yes |
Practice location
2305 Rudolphtown RoadClarksville, TN 37043
Phone 931-645-6362 · Fax 931-645-6369
Mailing address
2305 Rudolphtown RoadClarksville, TN 37043
Phone 931-645-6362 · Fax 931-645-6369
Authorized official
Richard C Ribeiro
Dentist
9316456362
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