Individual
RICHARD WILLIAM HENSHAW UPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
800 MOUNT VERNON HWY NE STE 405, ATLANTA, GA 30328-4293
(770) 394-3114
Mailing address
640 GLEN IRIS DR NE APT 516, ATLANTA, GA 30308-2762
(919) 616-5522
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015832
GA
Other
Enumeration date
04/11/2019
Last updated
08/23/2021
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