JAKE RICHARDSON D.M.D.
NPI 1568024347
Dentist - General Practice in Fort Duchesne, UT

Q: What is Jake Richardson's NPI number?

The NPI number for Jake Richardson is 1568024347. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Q: What is Jake Richardson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jake Richardson was last updated on July 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 02, 2019

6932 E 1400 S, FORT DUCHESNE, UT 84026(435) 722-5122 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jake Richardson D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAKE RICHARDSON D.M.D. (NPI 1568024347) is an individual general practice provider in Fort Duchesne, Utah, licensed in Utah (11308205-9921) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1568024347

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJAKE RICHARDSONCredential: D.M.D.

Location Address6932 E 1400 SFort Duchesne, UT 84026

Mailing Address412 E 2500 NVernal, UT 84078-9595 · (435) 828-8801

Phone(435) 722-5122

Sole ProprietorYes

Enumeration DateJuly 2, 2019

✔ NPI 1568024347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in UT · 11308205-9921

Definition

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.

6932 E 1400 S, Fort Duchesne, UT 84026

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAYNA MURDOCK YOUNG M.D.

Family Medicine

6932 E 1400 S
FORT DUCHESNE, UT 84026

Uintah County (435) 722-5122

EVE O'PRAY-NICHOLS RN, BSN, CDCES

Registered Nurse (Diabetes Educator)

6932 E 1400 S
FT. DUCHESNE, UT 84026

Uintah County (435) 722-5122

DR. CHELSEA LEE ELLSWORTH DNP, FNP-C, APRN

Nurse Practitioner (Family)

6932 E 1400 S
FORT DUCHESNE, UT 84026

Uintah County (435) 725-6850

KADEE PITT

Dental Hygienist

6932 E 1400 S
FT. DUCHESNE, UT 84026

Uintah County (435) 722-5122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jake Richardson's NPI number?

The NPI number for Jake Richardson is 1568024347. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Where is Jake Richardson located?

Jake Richardson practices at 6932 E 1400 S, Fort Duchesne, UT 84026. The listed phone number is (435) 722-5122.

What is Jake Richardson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jake Richardson was last updated on July 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.