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NPI Code Detail

MEDICARE: DR. RICHARD BLAIR NEMMERS D.D.S.

MEDICARE:  DR. RICHARD BLAIR NEMMERS  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 Dentistry6636IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1002155OTHERIABLUE DENTAL
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669428777
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD BLAIR NEMMERS D.D.S.
Provider Business Mailing Address
First Line : 409 WASHINGTON ST
Second Line :
City : CEDAR FALLS
State : IA
Zip : 50613-2812
Country : US
Telephone Number : 319-277-4040
Fax Number : 319-277-1912
Provider Business Practice Location Address
First Line : 409 WASHINGTON ST
Second Line :
City : CEDAR FALLS
State : IA
Zip : 50613-2812
Country : US
Telephone Number : 319-277-4040
Fax Number : 319-277-1912
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2006
Last Update Date : 07/08/2007

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Directions to “ DR. RICHARD BLAIR NEMMERS D.D.S.” Practice Location

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