Fewell, Richard D.

Fewell, Richard D. is an individual health care provider with primary practice located at 205 S Jackson St , Tullahoma TN 37388-4426. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Fewell, Richard D. can be contacted via phone (931) 455-0146.

Contact Information

Primary practice address
205 S Jackson St Tullahoma TN 37388-4426
Phone: (931) 455-0146
Fax: (931) 393-3863
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 261 Tennessee

Profile Details

NPI number 1538158548
LBN Legal business name Fewell, Richard D.
Credentials D.D.S.,M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538158548 NPPES
Other 835940 UNITED CONCORDIA
Other 0136409 UNITED CONCORDIA
Other 0014167 UNITED CONCORDIA

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