Provider Demographics
NPI:1255484911
Name:CALL, RICHARD LIN (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:LIN
Last Name:CALL
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3984 E 120TH AVE
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80233-1606
Mailing Address - Country:US
Mailing Address - Phone:303-457-1513
Mailing Address - Fax:303-280-2922
Practice Address - Street 1:3984 E 120TH AVE
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80233-1606
Practice Address - Country:US
Practice Address - Phone:303-457-1513
Practice Address - Fax:303-280-2922
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice