DR. Cody Richardson, DMD

NPI #1114610201 in Lagrange, Indiana

Provider Information

NPI Number: 1114610201
Entity Type: Individual
Name: DR. Cody Richardson, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 2, 2023
Last Updated: Jun 2, 2023

Practice Location

Address: 612 S DETROIT ST
City: Lagrange
State: Indiana
ZIP Code: 46761-2314
Phone: (260) 463-2111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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