Mccutcheon, Richard Smith
Mccutcheon, Richard Smith is an individual health care provider with primary practice located at 22 Arrowood Drive Suite C, Ithaca NY 14850-1857. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mccutcheon, Richard Smith can be contacted via phone (607) 257-1010.Contact Information
Primary practice address
22 Arrowood Drive Suite C
Ithaca NY 14850-1857
Phone: (607) 257-1010
Fax: (607) 257-1982
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 041440 | New York |
Profile Details
| NPI number | 1356447940 |
|---|---|
| LBN Legal business name | Mccutcheon, Richard Smith |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1356447940 | NPPES |
| New York | MEDICAID | 02457927 |
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