Dr. Jacquelyn L Richardson, DDS
Dr. Jacquelyn L Richardson is a Dentist provider (Dentist) practicing in Moline, IL, registered in the NPPES registry with NPI 1780853366 since 2008. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1780853366 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Jacquelyn L Richardson |
| Credential | DDS |
| Sex | Female |
| Practice address | Moline, IL, 61265 |
| Phone | 3097623015 |
| Fax | 3097621461 |
| Enumeration date | 2008-02-27 |
| Last updated in NPPES | 2014-08-20 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | 019-026572 | IL |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9182564 | Medicaid | IL | — |
Copy-ready billing details
Provider: Jacquelyn Richardson, DDS NPI: 1780853366 Taxonomy: 122300000X (Dentist) Address: Moline, IL, 61265
Verify this record
Cross-check NPI 1780853366 against the authoritative CMS record: view Dr. Jacquelyn L Richardson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-08-20.