Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacquelyn L Richardson, DDS

Individual provider Dentist · NPI 1780853366

Dr. Jacquelyn L Richardson, DDS is a Dentist in Moline, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2008
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

609 35th Ave Ste 3
Moline, IL 61265-6146
Phone: (309) 762-3015
Fax: (309) 762-1461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019-026572 (IL)

Record details

NPI number1780853366
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedFebruary 27, 2008
Last updated in NPPESAugust 20, 2014
Mailing address609 35th Ave Ste 3, Moline, IL 61265-6146

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