Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053313924 Individual Practitioner Male Practitioner

Dr. Jimmy J Richardson , DDS

Dentist - General Practice • Moore, OK

Professional Overview & Biography Verified Profile Summary

Dr. Jimmy Richardson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Moore, OK. Practice services are available at 840 SE 4TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

840 Se 4th St
Suite 3a

Moore, OK 731607262

Telephone 4057997071
Fax 4057945597
Associated Practice Facility / Clinic
🏢 J J Richardson Dds Pllc Facility NPI 1134393036

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Moore, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
20 Specialists

Practicing in Moore, OK (1496 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OK 5126

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 840 SE 4TH ST, SUITE 3A, MOORE, OK 731607262 (Tel: 4057997071)

📍
Updated Business Mailing Address July 08, 2007

Registered at 840 SE 4TH ST, SUITE 3A, MOORE, OK 731607262 (Tel: 4057997071)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JIMMY RICHARDSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #5126 in OK)

🟢
Initial NPI Registration & Enumeration August 11, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053313924
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

840 Se 4th St, Suite 3a

Moore, OK 731607262

Phone: 4057997071

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.