1982996344 NPI number — RICHARD L DAY, DDS, APC

Table of content: (NPI 1982996344)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982996344 NPI number — RICHARD L DAY, DDS, APC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RICHARD L DAY, DDS, APC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982996344
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/02/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10998 OMALLEY CENTRE DR
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
ANCHORAGE
Provider Business Mailing Address State Name:
AK
Provider Business Mailing Address Postal Code:
99515-3069
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
907-522-0068
Provider Business Mailing Address Fax Number:
907-561-0374

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10998 OMALLEY CENTRE DR.
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
ANCHORAGE
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99515
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-522-0068
Provider Business Practice Location Address Fax Number:
907-561-0374
Provider Enumeration Date:
05/04/2011

Additional Information

Authorized Official

Authorized Official Last Name:
DAY
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
L
Authorized Official Title or Position:
ORTHODONTIST/PRESIDENT
Authorized Official Telephone Number:
907-522-0068

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  1483 , registered in the state of AK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: DD39281 , issued by the state of ( AK ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com