Richeson, John G

Richeson, John G is an sole proprietor health care provider with primary practice located at 745 New Highway 68 , Sweetwater TN 37874. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Richeson, John G can be contacted via phone (423) 337-2034.

Contact Information

Primary practice address
745 New Highway 68 Sweetwater TN 37874
Phone: (423) 337-2034
Fax: (423) 337-2036
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS4830 Tennessee
Dental Providers / General Practice 1223G0001X DN012305 Georgia

Profile Details

NPI number 1518953777
LBN Legal business name Richeson, John G
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2005
Last updated Jan 22nd, 2019 - about 7 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 1518953777 NPPES
Georgia MEDICAID 182916060A
Georgia MEDICAID 1518953777

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