Search › Arkansas › 204E00000X
Justin Richer, DMD
NPI 1346692787 · on the registry since 2016 · sole proprietor
Practice
- Address
- 3996 N Frontage Rd
Fayetteville, AR 72703 - Phone
- (479) 582-3002
- Fax
- (479) 582-2840
- Organisation at this address
- Oral & Facial Surgery Center Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 3333 S Pinnacle Hills Pkwy Ste 104, Rogers, AR
Registry record
- Primary taxonomy
- 204E00000X
204E00000X
- Also registered as
- 122300000X
1223S0112X
1223S0112X
1223S0112X
1223S0112X
1223S0112X
1223S0112X
204E00000X - Licence states on file
- NJ, AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas