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NPI Code Detail

MEDICARE: DR. RICHARD JAN SCHOEN D.D.S.

MEDICARE:  DR. RICHARD JAN SCHOEN  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry23032CA

General Provider Information

NPI Number : 1003813858
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD JAN SCHOEN D.D.S.
Provider Business Mailing Address
First Line : PO BOX 1016
Second Line :
City : HAPPY CAMP
State : CA
Zip : 96039-1016
Country : US
Telephone Number : 530-493-1600
Fax Number : 530-493-1648
Provider Business Practice Location Address
First Line : 1519 S OREGON ST
Second Line :
City : YREKA
State : CA
Zip : 96097-3425
Country : US
Telephone Number : 530-842-9200
Fax Number : 530-842-9217
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 02/23/2010

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Directions to “ DR. RICHARD JAN SCHOEN D.D.S.” Practice Location

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