Individual
JACQUELYN CAROLE RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 STILSON ST, SANFORD, ME 04073-3228
(207) 324-8699
Mailing address
134 MIDDLE ST UNIT 5, PORTSMOUTH, NH 03801-4354
(207) 975-6068
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN5046
ME
1223G0001X
General Practice Dentistry
50255
NH
Other
Enumeration date
04/06/2022
Last updated
09/08/2025
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