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NPI Code Detail

MEDICARE: RICHARD FLEMING ROADCAP D.D.S.

MEDICARE: RICHARD FLEMING ROADCAP 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 Dentistry0401005137VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10401005137OTHERVADENTAL LICENSE

General Provider Information

NPI Number : 1740286533
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD FLEMING ROADCAP D.D.S.
Provider Business Mailing Address
First Line : 3501 BOULEVARD
Second Line :
City : COLONIAL HEIGHTS
State : VA
Zip : 23834-1319
Country : US
Telephone Number : 804-520-4770
Fax Number : 804-520-9412
Provider Business Practice Location Address
First Line : 3501 BOULEVARD
Second Line :
City : COLONIAL HEIGHTS
State : VA
Zip : 23834-1319
Country : US
Telephone Number : 804-520-4770
Fax Number : 804-520-9412
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2005
Last Update Date : 07/08/2007

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