Dr. Richard Ariel Edmiston , DMD
Dentist - General Practice • Brookings, OR
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Richard Edmiston has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Richard Edmiston, DMD was a registered Dentist - General Practice practicing in Brookings, OR. Throughout an active medical career spanning 15 years, Dr. Edmiston provided care at the practice location at 350 PACIFIC AVE until profile deactivation on 2020-10-21.
Practice Location & Contact Primary Location
350 Pacific Ave
Brookings, OR 974150069
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Brookings, OR
Practicing in Brookings, OR (1994 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 21, 2020
NPI status registered as active in NPPES database
Registered at 350 PACIFIC AVE, BROOKINGS, OR 974150069 (Tel: 5414690192)
Registered at PO BOX 4370, BROOKINGS, OR 974150069 (Tel: 5414690192)
Recorded as RICHARD EDMISTON, DMD
Dentist (License #D4119 in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 4370
Brookings, OR 974150069
Phone: 5414690192
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