Corley, Richard Wade

Corley, Richard Wade is an sole proprietor health care provider with primary practice located at 215 E Choctaw Ave Suite 108, Mcalester OK 74501-5068. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Corley, Richard Wade can be contacted via phone (918) 423-2628.

Contact Information

Primary practice address
215 E Choctaw Ave Suite 108 Mcalester OK 74501-5068
Phone: (918) 423-2628
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 2923 Oklahoma

Profile Details

NPI number 1720103468
LBN Legal business name Corley, Richard Wade
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2007
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.

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