Provider Demographics
NPI:1609962653
Name:PENFIELD, RICHARD B SR (DMD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:B
Last Name:PENFIELD
Suffix:SR
Gender:M
Credentials:DMD
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Mailing Address - Street 1:PO BOX 1009
Mailing Address - Street 2:122 7TH AVE NE
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007
Mailing Address - Country:US
Mailing Address - Phone:205-663-4010
Mailing Address - Fax:205-663-4848
Practice Address - Street 1:122 7TH AVE NE
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007
Practice Address - Country:US
Practice Address - Phone:205-663-4010
Practice Address - Fax:205-663-4848
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL29681223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics