SAMUEL RICHARDS


Address: 554 Keily Street, Bur of Med & Surg Cred & Priv Division, Jacksonville, FL 23324
Phone: 7579537011

SAMUEL RICHARDS (NPI# 1629449186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629449186
Entity Type Individual
Full Name SAMUEL RICHARDS
Credential DDS
Practice Address 554 Keily Street
Bur of Med & Surg Cred & Priv Division
Jacksonville
FL 23324
Practice Telephone 7579537011
Mailing Telephone 7579537011
Enumeration Date 2015-10-09
Last Update Date 2015-10-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0700X Dentist
Specialization: Prosthodontics
15384 MD Dental Providers

Other Providers SAMUEL RICHARDS

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1407496276 Samuel Allard Richards Physician Assistant 1211 N 16th Ave, Yakima, WA 98902-1347 2020-01-09
1609382050 Samuel Stephen Richards Physician Assistant 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107-6175 2017-12-21
1992149249 Samuel Wallace Richards Chiropractor 2575 Harn Blvd, Clearwater, FL 33764-3211 2013-04-17

Office Location

Street Address 554 KEILY STREET
BUR OF MED & SURG CRED & PRIV DIVISION
City JACKSONVILLE
State FL
Zip Code 23324

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326019373 Brian G Norwood Pediatrics 554 Keily Street, Jacksonville, FL 32212 2006-01-29
1811461726 Yocelin Hernandez Rojero Occupational Therapist 554 Keily Street, Jacksonville Fl 32212, Jacksonville, FL 32212 2019-01-14
1609381235 Miranda Shilelagh Schmidt Physician Assistant 554 Keily Street, Jacksonville, FL 32212 2017-12-05
1144733627 Tylisha Elyse Deshields Social Worker 554 Keily Street, Jacksonville, FL 32212 2017-11-07
1326557976 David Michael Tatera Psychologist 554 Keily Street, Jacksonville, FL 32212 2017-09-27
1104335348 Kuang-hui Lee General Practice 554 Keily Street, Jacksonville, FL 32212 2017-09-20
1548788177 Sophia Renee Beal Speech-Language Pathologist 554 Keily Street, Jacksonville, FL 32212 2017-09-04
1164949418 George S Bennitt Dentist 554 Keily Street, Jacksonville, FL 32212-4047 2017-08-28
1124545389 David Phillips Student in an Organized Health Care Education/Training Program 554 Keily Street, Centralized Credential and Privileging Directorate, Jacksonville, FL 32212-2466 2017-08-28
1902323652 Erich Chen Student in an Organized Health Care Education/Training Program 554 Keily Street, Jacksonville, FL 32212 2017-08-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235779588 Cynthia Dupree Counselor 1145 Commerce Ave, Chesapeake, VA 23324 2020-01-14
1699263780 Barbara Ann Schweiger Speech-Language Pathologist 2601 Broad Street, Chesapeake, VA 23324 2018-04-25
1346738531 Deanne Melworth Lindsey Speech-Language Pathologist 2107 Liberty Street, Chesapeake, VA 23324 2018-04-24
1265801104 Vamedicabi,llc Non-emergency Medical Transport (VAN) 3404 Bainbridge Blvd, Chesapeake, VA 23324 2015-09-22
1225358781 Madelyn Ortiz Brito Psychologist 2710 Ike St Trlr 22, Chesapeake, VA 23324 2010-06-08
1427385780 Ivyrehab Sept, LLC Physical Therapist 801 Poindexter Street, Suite 219, Chesapeake, VA 23324 2009-11-06
1225102510 Rodolfo Cejas Rosas Internal Medicine 2709 Campostilla Rd, Ste E, Chesapeake, VA 23324 2006-11-20
1043381759 Chesapeake City Public Schools Local Education Agency (LEA) 2107 E. Liberty St, Chesapeake, VA 23324 2006-11-13
1679668941 Lisa Cordero Nurse Practitioner 490 Liberty Street, Chesapeake, VA 23324 2006-10-04
1437259801 Robert James Mealy IIi Dentist 2737 Campostella Rd, Chesapeake, VA 23324 2006-09-25
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Taxonomy Information

Taxonomy Code 1223P0700X
Grouping Dental Providers
Classification Dentist
Specialization Prosthodontics

Taxonomy Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932728078 Mohammad Reza Azari Samani Dentist 14453 Beach Blvd Ste 100, Jacksonville, FL 32250-2081 2020-04-09
1215390216 Noel Rodriguez Dentist Naval Branch Health Clinic Nas Jax, Bldg 9 64, Birmingham Ave., Jacksonville, FL 32214-0001 2016-03-29
1588871289 William Raymond Gielincki Jr. Dentist 6855 Belfort Oaks Pl, Jacksonville, FL 32216-6242 2007-05-16
1114059201 Reza Azari Samani, Dds Pa Dentist 14453 Beach Blvd., Suite 100, Jacksonville, FL 32250 2007-03-12
1215951132 Donald L. Smitha Dentist 812 Alderman Rd, Jacksonville, FL 32211-6102 2006-07-26
1083678262 Eric M Olson Dentist 2078 Rogero Rd, Jacksonville, FL 32211-4119 2006-04-14
1023013281 Wayne S. Barker Dentist 7740 Point Meadows Dr, Ste 4, Jacksonville, FL 32256-9180 2005-06-15
1265958128 Diana Cole Dentist 554 Keily Street, Jacksonville, FL 32212 2017-08-22
1033528724 Joseph Jarman Dentist 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 2014-08-06
1114365970 Agerico M Sayoc Dentist 13167 Atlantic Blvd, Jacksonville, FL 32225-3125 2013-06-13
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Competitor

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City JACKSONVILLE
Zip Code 23324

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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