Organization
ROY W. RICHARDSON, III, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA WILKINS SHRUM (OFFICE MANAGER)
(704) 289-4505
Entity
Organization
Contact information
Practice address
1276 STAFFORD ST, MONROE, NC 28110-3286
(704) 289-4505
(704) 283-8654
Mailing address
1276 STAFFORD ST, MONROE, NC 28110-3286
(704) 289-4505
(704) 283-8654
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113590
UNITED CONCORDIA
—
Enumeration date
03/30/2007
Last updated
05/08/2013
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