# TORIE L RICHARDSON DDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kluth Richardson Family and Cosmetic Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396348223
- **Authorized official:** DR. TORIE LYNN RICHARDSON DDS (DENTIST)
- **Authorized official phone:** (517) 206-1618

## Contact information

- **Practice address:** 16000 PROSPERITY DR STE 400, NOBLESVILLE, IN 46060-4322
- **Practice address phone:** (317) 770-1050
- **Practice address fax:** (317) 770-1645
- **Mailing address:** 16000 PROSPERITY DR STE 400, NOBLESVILLE, IN 46060-4322
- **Mailing address phone:** (317) 770-1050
- **Mailing address fax:** (317) 770-1645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/22/2020
- **Last updated:** 11/22/2020