Dr. Richard J. Sundberg D.D.S., P.S.
LBN: Dr. Richard J. Sundberg D.D.S., P.S.
Dr. Richard J. Sundberg D.D.S., P.S. is an health care organization with primary practice located at 310 S 3Rd Ave , Walla Walla WA 99362-3037. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Dr. Richard J. Sundberg D.D.S., P.S. can be contacted via phone (509) 529-3762, or through Sundberg, Richard Jon via phone (509) 529-3762.
Contact Information
Primary practice address
310 S 3Rd Ave
Walla Walla WA 99362-3037
Phone: (509) 529-3762
Fax: (509) 529-7622
Website:
Authorized official contact:
Name: Sundberg, Richard Jon Doctor of Dental Surgery (DDS)
Phone: (509) 529-3762
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DE00004263 | Washington |
Profile Details
| NPI number | 1063573699 |
|---|---|
| LBN Legal business name | Dr. Richard J. Sundberg D.D.S., P.S. |
| DBA Doing business as | |
| Authorized official | Sundberg, Richard Jon Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Sep 25th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063573699 | NPPES |
| Washington | MEDICAID | 5347000 | |
| Washington | Other | 0028263 |
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