Individual
DR. KATHERINE NICOLE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, DDS
Contact information
Practice address
90 BEAVER DR STE 209D, DU BOIS, PA 15801-2449
(814) 299-5151
(814) 299-5156
Mailing address
90 BEAVER DR STE 209D, DU BOIS, PA 15801-2449
(814) 299-5151
(814) 299-5156
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
10324
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
35484
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS042716
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
35484
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DS042716
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104352434
—
PA
05
—
7100651090
—
KY
Enumeration date
03/25/2019
Last updated
02/23/2026
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