MEDICARE: DR. RICHARD THOMAS FLECK 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
1	122300000X	Dentist	4001676	WI

General Provider Information

NPI Number	:	1255677910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD THOMAS FLECK DDS

Provider Business Mailing Address
First Line	:	6137 ERICE ST
Second Line	:
City	:	VENICE
State	:	FL
Zip	:	34293-4516
Country	:	US
Telephone Number	:	941-275-5311
Fax Number	:

Provider Business Practice Location Address
First Line	:	6137 ERICE ST
Second Line	:
City	:	VENICE
State	:	FL
Zip	:	34293-4516
Country	:	US
Telephone Number	:	941-275-5311
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2012
Last Update Date	:	06/07/2026

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