Richardson, Leotis

Richardson, Leotis is an sole proprietor health care provider with primary practice located at 1105 Collier Dr , Conway AR 72032-8588. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Richardson, Leotis can be contacted via phone (501) 327-6638.

Contact Information

Primary practice address
1105 Collier Dr Conway AR 72032-8588
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 7529 Arkansas

Profile Details

NPI number 1255497715
LBN Legal business name Richardson, Leotis
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2006
Last updated Sep 2nd, 2020 - about 6 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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