Individual provider · Type 1 NPI

Douglas Dennis Richardson Sr., DDS

Oral and Maxillofacial Surgery (Dentist) · Dayton, OH

NPI number 1700890340 Active

Practice location

4100 W 3rd St, Dental (160)
Dayton, OH 45428-9000

Call (937) 262-2102 Map

Fax (937) 267-5355

Mailing address

2479 Indian Wells Trl
Xenia, OH 45385-9384

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X14501 (OH)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1700890340

Douglas Dennis Richardson Sr., DDS's National Provider Identifier is 1700890340, issued on Jul 28, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Dayton, OH. The record was last updated on Jul 8, 2007.