Young, Richard Mckell

Young, Richard Mckell is an individual health care provider with primary practice located at 615 Burkarth Rd , Warrensburg MO 64093-1461. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Young, Richard Mckell can be contacted via phone (660) 747-9117.

Contact Information

Primary practice address
615 Burkarth Rd Warrensburg MO 64093-1461
Fax: (660) 747-2615
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2003008186 Missouri

Profile Details

NPI number 1578507786
LBN Legal business name Young, Richard Mckell
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Apr 13th, 2011 - about 15 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 1578507786 NPPES
Missouri Other 1468740 TRICARE DENTAL INSURANCE

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