# DUBOIS ORAL SURGERY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DUBOIS ORAL SURGERY, PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134073653
- **Legal business name:** DUBOIS ORAL SURGERY, PLLC
- **Authorized official:** DR. KATHERINE N RICHARDSON MS, DDS (ORAL SURGEON)
- **Authorized official phone:** (814) 299-5151

## Contact information

- **Practice address:** 90 BEAVER DR STE 209D, DU BOIS, PA 15801-2449
- **Practice address phone:** (814) 299-5151
- **Practice address fax:** (814) 299-5156
- **Mailing address:** 90 BEAVER DR STE 209D, DU BOIS, PA 15801-2449
- **Mailing address phone:** (814) 299-5151
- **Mailing address fax:** (814) 299-5156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |

## Other

- **Enumeration date:** 02/23/2026
- **Last updated:** 02/24/2026
