Richardson, Misty Denise

Richardson, Misty Denise is an individual health care provider with primary practice located at 2300 Lancaster Dr Ne , Salem OR 97305-1223. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Richardson, Misty Denise can be contacted via phone (503) 370-4311.

Contact Information

Primary practice address
2300 Lancaster Dr Ne Salem OR 97305-1223
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1245583632
LBN Legal business name Richardson, Misty Denise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2012
Last updated Oct 23rd, 2012 - about 13 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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