Provider Demographics
NPI:1073531364
Name:APPS, RICHARD PRESTON JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:PRESTON
Last Name:APPS
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80A BEAL PKWY NW
Mailing Address - Street 2:
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32548-4851
Mailing Address - Country:US
Mailing Address - Phone:850-244-8447
Mailing Address - Fax:850-243-1515
Practice Address - Street 1:80A BEAL PKWY NW
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32548-4851
Practice Address - Country:US
Practice Address - Phone:850-244-8447
Practice Address - Fax:850-243-1515
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14253122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist