Michael Quincy Alan Richardson DMD

NPI 1477634574 - Dentist - 1223G0001X

NPI Details
NPI 1477634574
Gender Male
Enumeration Date 10/17/2006
Last Updated 01/21/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
4520 NELSON BROGDON BLVD
BUFORD GA, 30518-3478, US
Phone (770) 945-2119
Fax (770) 945-0979
Business Location
4520 NELSON BROGDON BLVD
BUFORD GA, 30518-3478, US
Phone (770) 945-2119
Fax (440) 446-1990
Toxanomy
Taxonomy Code 1223G0001X
License State Ohio
License Number 30022065
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According to our database, Dr. Michael Quincy Alan Richardson DMD NPI is 1477634574, taxonomy code is 1223G0001X and license number is 30022065, license state is located at Ohio. Michael Quincy Alan Richardson DMD physically located at 4520 Nelson Brogdon Blvd, Buford GA, 30518-3478. NPI Number Michael Quincy Alan Richardson DMD has the Individual type.

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1477634574 NPI number is provided on an as is basis without warranty of any kind. 1477634574 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Quincy Alan Richardson DMD are for informational purposes only.