Provider Demographics
NPI:1215972971
Name:WORKMAN, RICHARD A (DMD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:A
Last Name:WORKMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 SAWYER AVE
Mailing Address - Street 2:
Mailing Address - City:ATKINSON
Mailing Address - State:NH
Mailing Address - Zip Code:03811-2439
Mailing Address - Country:US
Mailing Address - Phone:603-362-4552
Mailing Address - Fax:
Practice Address - Street 1:115 INDIAN ROCK RD
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:NH
Practice Address - Zip Code:03087-2012
Practice Address - Country:US
Practice Address - Phone:603-893-3891
Practice Address - Fax:603-893-0797
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1280122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH99001683Medicaid