Gregory L. Richardson Dds.ms.pa

NPI 1033380423 - Exclusive Provider Organization - 302F00000X

NPI Details
NPI 1033380423
Enumeration Date 03/13/2008
Last Updated 03/13/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name GREGORY L GREGORY
Position OWNER
Phone (910) 452-7988
Fax (910) 452-7632
Practice Location
2606 IRON GATE DR
SUITE 101
WILMINGTON NC, 28412-2573, US
Phone (910) 452-7988
Fax (910) 452-7632
Business Location
2606 IRON GATE DR
SUITE 101
WILMINGTON NC, 28412-2573, US
Phone (910) 452-7988
Fax (910) 452-7932
Toxanomy
Taxonomy Code 302F00000X
License State North Carolina
License Number 5744
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According to our database, Gregory L. Richardson Dds.ms.pa NPI is 1033380423, taxonomy code is 302F00000X and license number is 5744, license state is located at North Carolina. Gregory L. Richardson Dds.ms.pa physically located at 2606 Iron Gate Dr, Wilmington NC, 28412-2573. NPI Number 1033115704 has the healthcare provider type.

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1033380423 NPI number is provided on an as is basis without warranty of any kind. 1033380423 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory L. Richardson Dds.ms.pa are for informational purposes only.