Dr Richard Lee Daffurn, DDS in Sonoma, CA - Medicare Dentist Provider

Dr Richard Lee Daffurn, DDS is a medicare enrolled "Dentist" provider in Sonoma, California. His current practice location is 181 Andrieux St, Suite 104, Sonoma, California. You can reach out to his office (for appointments etc.) via phone at (707) 996-4585.

Dr Richard Lee Daffurn is licensed to practice in California (license number 22059) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407956345.

Contact Information

	Dr Richard Lee Daffurn, DDS
	181 Andrieux St, Suite 104, Sonoma, CA 95476-6932
	(707) 996-4585
	(707) 996-4059

Healthcare Provider's Profile

Full Name	Dr Richard Lee Daffurn
Gender	Male
Speciality	Dentist
Location	181 Andrieux St, Sonoma, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407956345
Provider Enumeration Date: 09/22/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3375848211
Enrollment ID: I20160301002062

Medical Identifiers

Medical identifiers for Dr Richard Lee Daffurn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407956345	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	22059 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Richard Lee Daffurn is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Richard Lee Daffurn, DDS 181 Andrieux St, Suite 104, Sonoma, CA 95476-6932 Ph: (707) 996-4585	Dr Richard Lee Daffurn, DDS 181 Andrieux St, Suite 104, Sonoma, CA 95476-6932 Ph: (707) 996-4585

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Dentist in Sonoma, CA

Dr. Julie Neal Forstadt, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 763 Broadway, Sonoma, CA 95476 Phone: 707-938-8528
Alexander Eugene Ivanoff, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 17776 Highway 12, Sonoma, CA 95476 Phone: 707-935-8200 Fax: 707-935-8272
Dr. Jad S Elkhoury, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 248 Perkins St, Sonoma, CA 95476 Phone: 707-938-2155 Fax: 707-935-2142
Dr. Peter K Pang, DDS Dentist Medicare: Medicare Enrolled Practice Location: 554 3rd St W, Sonoma, CA 95476 Phone: 707-996-3016 Fax: 707-996-2877
Dr. Kristin Devincenzi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 763 Broadway, Sonoma, CA 95476 Phone: 707-938-8528
Dr. Caroline Anne Laurent, D.M.D., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 357 Perkins St, Sonoma, CA 95476 Phone: 707-938-5255
Dr. Daniel Lee Kittleson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 548 3rd St W, Sonoma, CA 95476 Phone: 707-938-3077

Dr Richard Lee Daffurn, DDS - Medicare Dentist in Sonoma, CA