Richardson Center for Oral & Facial Surgery PC

NPI #1972733566 in Elkridge, Maryland

Provider Information

NPI Number: 1972733566
Entity Type: Organization
Organization Name: Richardson Center for Oral & Facial Surgery PC
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Jul 17, 2009
Last Updated: Jul 17, 2009

Practice Location

Address: 6865 DEERPATH RD
Address 2: DORSEY STATION, SUITE 302
City: Elkridge
State: Maryland
ZIP Code: 21075-6257
Phone: (410) 796-3333

Authorized Official

Name: DR. DANIEL T RICHARDSON, MD, DMD
Title: OWNER
Phone: (410) 796-3333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Oral & Maxillofacial Surgery	204E00000X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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