Individual provider · Type 1 NPI

Tehemina Gagrat Richardson, DDS

Pediatric Dentistry · Chicago, IL

NPI number 1720206527 Active

Practice location

1460 N Halsted St, Suite 403
Chicago, IL 60642-2605

Call (773) 880-5455 Map

Mailing address

101 S. Washington Avenue, Suite 114
Park Ridge, IL 60068

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X019.026876 (IL)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1720206527

Tehemina Gagrat Richardson, DDS's National Provider Identifier is 1720206527, issued on Apr 24, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Chicago, IL. The record was last updated on Aug 31, 2017.