Poupard, Richard Joseph

Poupard, Richard Joseph is an individual health care provider with primary practice located at 6112 Merlin Ct , Midland MI 48640-7358. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Poupard, Richard Joseph can be contacted via phone (989) 839-9979.

Contact Information

Primary practice address
6112 Merlin Ct Midland MI 48640-7358
Phone: (989) 839-9979
Fax: (989) 839-9553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X RP016402 Michigan
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X RP016402 Michigan

Profile Details

NPI number 1699708248
LBN Legal business name Poupard, Richard Joseph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Oct 10th, 2012 - about 12 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 1699708248 NPPES
Michigan MEDICAID 3487124
Michigan MEDICAID 3487133

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