Provider Demographics
NPI:1831283613
Name:ALLINSON, RICHARD D (DDS)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:D
Last Name:ALLINSON
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 1:1916 N BALTIMORE ST
Mailing Address - Street 2:
Mailing Address - City:KIRKSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63501-1902
Mailing Address - Country:US
Mailing Address - Phone:660-665-1901
Mailing Address - Fax:660-665-1903
Practice Address - Street 1:1916 N BALTIMORE ST
Practice Address - Street 2:
Practice Address - City:KIRKSVILLE
Practice Address - State:MO
Practice Address - Zip Code:63501-1902
Practice Address - Country:US
Practice Address - Phone:660-665-1901
Practice Address - Fax:660-665-1903
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO014635122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist