# DR. JOHN G RICHESON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1518953777
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DN012305 | GA | Yes |
| 1223G0001X | General Practice Dentistry | DS4830 | TN | — |

## Other

- **Enumeration date:** 09/23/2005
- **Last updated:** 01/22/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1518953777 | — | MO |
| 05 | — | 182916060A | — | GA |