Richards, Melzar Thayer
Richards, Melzar Thayer is an individual health care provider with primary practice located at 22 Arrowwood Dr Ste C, Ithaca NY 14850. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Richards, Melzar Thayer can be contacted via phone (607) 257-1010.Contact Information
Primary practice address
22 Arrowwood Dr Ste C
Ithaca NY 14850
Phone: (607) 257-1010
Fax: (607) 257-1982
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 0312601 | New York |
Profile Details
NPI number | 1316043995 |
---|---|
LBN Legal business name | Richards, Melzar Thayer |
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 | 1316043995 | NPPES |
New York | MEDICAID | 00420902 |
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