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NPI Code Detail

MEDICARE: DR. RICHARD DWIGHT NEWCOMER DDS

MEDICARE:  DR. RICHARD DWIGHT NEWCOMER  DDS
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 Dentistry19943CA

General Provider Information

NPI Number : 1275540148
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD DWIGHT NEWCOMER DDS
Provider Business Mailing Address
First Line : 7825 FLORENCE AVE
Second Line : SUITE B
City : DOWNEY
State : CA
Zip : 90240-3727
Country : US
Telephone Number : 562-928-8900
Fax Number : 562-928-9130
Provider Business Practice Location Address
First Line : 7825 FLORENCE AVE
Second Line : SUITE B
City : DOWNEY
State : CA
Zip : 90240-3727
Country : US
Telephone Number : 562-928-8900
Fax Number : 562-928-9180
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2006
Last Update Date : 07/08/2007

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Directions to “ DR. RICHARD DWIGHT NEWCOMER DDS” Practice Location

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