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NPI Code Detail

MEDICARE: DR. RICHARD ALAN MECALL DDS

MEDICARE:  DR. RICHARD ALAN MECALL  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
11223P0300XPeriodonticsS4-23NV

General Provider Information

NPI Number : 1235269838
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD ALAN MECALL DDS
Provider Business Mailing Address
First Line : 2327 GREEN MOUNTAIN CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-1536
Country : US
Telephone Number : 702-204-4455
Fax Number : 702-562-0711
Provider Business Practice Location Address
First Line : 2327 GREEN MOUNTAIN CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-1536
Country : US
Telephone Number : 702-204-4455
Fax Number : 702-562-0711
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 10/09/2012

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Directions to “ DR. RICHARD ALAN MECALL DDS” Practice Location

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