Provider Demographics
NPI:1093859456
Name:LAJOIE, RICHARD DANA (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:DANA
Last Name:LAJOIE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-3345
Mailing Address - Country:US
Mailing Address - Phone:508-672-0924
Mailing Address - Fax:508-672-0924
Practice Address - Street 1:450 HIGH ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-3345
Practice Address - Country:US
Practice Address - Phone:508-672-0924
Practice Address - Fax:508-672-0924
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA129681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice