Provider Demographics
NPI:1992760607
Name:DRUCKMAN, RICHARD FRANK (DDS)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:FRANK
Last Name:DRUCKMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:7305 NORTH MILITARY TRAIL
Mailing Address - Street 2:3A-200 WEST PALM BEACH VA MEDICAL CENTER DENTAL CLINIC
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6400
Mailing Address - Country:US
Mailing Address - Phone:561-422-5420
Mailing Address - Fax:561-422-8595
Practice Address - Street 1:7305 NORTH MILITARY TRAIL
Practice Address - Street 2:3A-200 WEST PALM BEACH VA MEDICAL CENTER DENTAL CLINIC
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-6400
Practice Address - Country:US
Practice Address - Phone:561-422-6576
Practice Address - Fax:561-422-8595
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL019-0215431223P0700X
WADE000071971223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics