Organization
RICHARDSON DENTAL AND ASSOCIATES
Active
Other names
Magnolia Family Dentistry of Columbus
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNIE J RICHARDSON DMD (OWNER)
(662) 327-2002
Entity
Organization
Contact information
Practice address
1227 HIGHWAY 45 N, COLUMBUS, MS 39705-2138
(662) 327-2002
(366) 232-7201
Mailing address
1227 HIGHWAY 45 N, COLUMBUS, MS 39705-2138
(662) 327-2002
(366) 232-7201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3463-08
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001989359
UNITED CONCORDIA
MS
05
—
02150825
—
MS
Enumeration date
07/22/2011
Last updated
07/22/2011
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