Dr. Richard Hayes Clough Jr., DDS
Dentist in Bellingham, WA. Individual provider (NPI-1).
NPI number1962965665
StatusActive
Last updated in NPPESNov 25, 2020
Details
- NPI
- 1962965665
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard Hayes Clough Jr.
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2019
- Certification date
- Nov 25, 2020
- Last updated
- Nov 25, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 61074242 | WA | Yes |
Practice location
224 36th StBellingham, WA 98225-6540
Phone 360-255-0553
Mailing address
906 Amsterdam Ave Apt 2bNew York, NY 10025-3974
Phone 360-393-9526
Other practice locations
5901 E 7th St
Long Beach, CA 90822-5201
Long Beach, CA 90822-5201
Phone 562-826-5407 · Fax 562-826-5374
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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