Individual
DR. GREGORY P RICHARDSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
131 INDIAN LAKE BLVD, SUITE 100, HENDERSONVILLE, TN 37075-6210
(615) 822-8403
(615) 822-0542
Mailing address
131 INDIAN LAKE BLVD, SUITE 100, HENDERSONVILLE, TN 37075-6210
(615) 822-8403
(615) 822-0542
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7003
TN
Other
Enumeration date
11/17/2005
Last updated
07/08/2007
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