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NPI Code Detail

MEDICARE: DR. RICHARD R WOEHRLE DDS

MEDICARE: DR. RICHARD R WOEHRLE 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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry17056TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101436624OTHERUNITED CONCORDIA

General Provider Information

NPI Number : 1811991672
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD R WOEHRLE DDS
Provider Business Mailing Address
First Line : 809 TRAILCREST
Second Line :
City : HARKER HEIGHTS
State : TX
Zip : 76548
Country : US
Telephone Number : 254-698-6252
Fax Number :
Provider Business Practice Location Address
First Line : 3106 S W S YOUNG DR
Second Line : STE A101
City : KILLEEN
State : TX
Zip : 76542-2007
Country : US
Telephone Number : 254-526-8666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 07/08/2007

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