Individual
DR. GEORGE SHACKELFORD RICHARDSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16000 PRESTON RD, #300, DALLAS, TX 75248-3567
(972) 490-6268
(972) 490-0111
Mailing address
16000 PRESTON RD, #300, DALLAS, TX 75248-3567
(972) 490-6268
(972) 490-0111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14684
TX
122300000X
Dentist
1514
NM
122300000X
Dentist
5965
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D14684
BLUE CROSS
TX
Enumeration date
03/30/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us