# RICHARDSON CENTER FOR ORAL & FACIAL SURGERY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972733566
- **Authorized official:** DR. DANIEL T RICHARDSON MD, DMD (OWNER)
- **Authorized official phone:** (410) 796-3333

## Contact information

- **Practice address:** 6865 DEERPATH RD, DORSEY STATION, SUITE 302, ELKRIDGE, MD 21075-6257
- **Practice address phone:** (410) 796-3333
- **Practice address fax:** (410) 796-3375
- **Mailing address:** 6865 DEERPATH RD, DORSEY STATION, SUITE 302, ELKRIDGE, MD 21075-6257
- **Mailing address phone:** (410) 796-3333
- **Mailing address fax:** (410) 796-3375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 14259 | MD | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | D0067181 | MD | — |

## Other

- **Enumeration date:** 07/17/2009
- **Last updated:** 07/17/2009