Giddon, Richard L

Giddon, Richard L is an sole proprietor health care provider with primary practice located at 4 Metro Tech Center Lobby, Brooklyn NY 11201. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Giddon, Richard L can be contacted via phone (718) 403-0700.

Contact Information

Primary practice address
4 Metro Tech Center Lobby Brooklyn NY 11201
Fax: (718) 403-0441
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 034466 New York

Profile Details

NPI number 1295796779
LBN Legal business name Giddon, Richard L
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2006
Last updated Feb 25th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295796779 NPPES
New York MEDICAID 00423890

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