Individual
DR. LEOTIS RICHARDSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1331 SMITHVILLE HWY, MCMINNVILLE, TN 37110-1422
(931) 450-7177
Mailing address
26 W JERICHO DR, GREENBRIER, AR 72058-9561
(501) 908-1875
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7529
AR
122300000X
Dentist
Primary
7529
TN
Other
Enumeration date
12/29/2006
Last updated
04/08/2026
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