Claydon, Richard J
Claydon, Richard J is an individual health care provider with primary practice located at 107 S Prospect , Bloomington IL 61704. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Claydon, Richard J can be contacted via phone (309) 662-9318.Contact Information
Primary practice address
107 S Prospect
Bloomington IL 61704
Phone: (309) 662-9318
Fax: (309) 662-8331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | Illinois |
Profile Details
| NPI number | 1669533964 |
|---|---|
| LBN Legal business name | Claydon, Richard J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669533964 | NPPES |
| Other | 755134 | UNITED CONCORDIA | |
| Other | 80115928 | UNITED CONCORDIA |
Popular Providers
-
Brevard, Rebekah R
101 Stone Harbor Blvd , Cape May Court House NJ 08210-2135 -
Lawrence, Martha M.
1395 Center Dr # D7-6A Ufcd Oral And Maxillofacial Surgery, Box 100416, Gainesville FL 32610-0416 -
Brillman, Robert
4 Ridings Way , West Chester PA 19382-7488 -
Lalani, Zahid S
8687 Louetta Rd Suite 100, Spring TX 77379-6672 -
Lopatka, Craig Walter
2502 E Empire St Ste B , Bloomington IL 61704-3739 -
Radecki, Cass Anthony
203 W Michigan Ave , Saline MI 48176-1329 -
Tawadros, Atef Milad
116 W 3Rd St , Mishawaka IN 46544-2024 -
Elger, Anthony Mitchell
109 N Regency Dr , Bloomington IL 61701-3515