Taverna, Richard Douglas

Taverna, Richard Douglas is an individual health care provider with primary practice located at 430 W Loop 1604 N Suite 109, San Antonio TX 78251-3342. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Taverna, Richard Douglas can be contacted via phone (210) 469-3869.

Contact Information

Primary practice address
430 W Loop 1604 N Suite 109 San Antonio TX 78251-3342
Phone: (210) 469-3869
Fax: (210) 402-0025
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 13696 Texas

Profile Details

NPI number 1912903444
LBN Legal business name Taverna, Richard Douglas
Credentials PH.D.,D.D.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Sep 12th, 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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