Provider Demographics
NPI:1922128958
Name:KALIKOW, RICHARD K (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:K
Last Name:KALIKOW
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 1:921 PENLLYN BLUE BELL PIKE
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-2163
Mailing Address - Country:US
Mailing Address - Phone:215-628-0610
Mailing Address - Fax:215-628-4675
Practice Address - Street 1:921 PENLLYN BLUE BELL PIKE
Practice Address - Street 2:
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-2163
Practice Address - Country:US
Practice Address - Phone:215-628-0610
Practice Address - Fax:215-628-4675
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS 023152L1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics