# A. K. RICHARDSON AND ASSOCIATES, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTALONE PARTNERS, INC
- **Other names:** DentalWorks
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043539927
- **Legal business name:** DENTALONE PARTNERS, INC
- **Authorized official:** MRS. RACHEL NITTINGER (CREDENTIALING MANAGER)
- **Authorized official phone:** (972) 755-0816

## Contact information

- **Practice address:** 1900 WELLNESS BLVD, SUITE \#104, MONROE, NC 28110-7763
- **Practice address phone:** (704) 296-5100
- **Practice address fax:** (216) 584-1127
- **Mailing address:** PO BOX 860036, MINNEAPOLIS, MN 55486-0036
- **Mailing address phone:** (704) 296-5100
- **Mailing address fax:** (216) 584-1127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NC | — |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223E0200X | Endodontics | — | NULL | — |
| 1223E0200X | Endodontics | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NC | Yes |
| 1223P0221X | Pediatric Dentistry | — | NULL | — |
| 1223P0221X | Pediatric Dentistry | — | — | — |
| 1223P0300X | Periodontics | — | NULL | — |
| 1223P0300X | Periodontics | — | — | — |
| 1223P0700X | Prosthodontics | — | NULL | — |
| 1223P0700X | Prosthodontics | — | — | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | NULL | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |

## Other

- **Enumeration date:** 05/18/2010
- **Last updated:** 08/04/2017