Individual
DR. JOHN G RICHESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
745 NEW HIGHWAY 68, SWEETWATER, TN 37874
(423) 337-2034
(423) 337-2036
Mailing address
745 NEW HIGHWAY 68, SWEETWATER, TN 37874-1913
(423) 337-2034
(423) 337-2036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012305
GA
1223G0001X
General Practice Dentistry
DS4830
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518953777
—
MO
05
—
182916060A
—
GA
Enumeration date
09/23/2005
Last updated
01/22/2019
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