Individual
DR. JOSEPH M RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
DEPT OF THE ARMY, DENTAL ACTIVITY STOP B, 2817 REILLY RD, MCDS-NA-B, FORT BRAGG, NC 28310-0001
(910) 396-5610
(910) 396-7017
Mailing address
DEPT OF THE ARMY, DENTAL ACTIVITY STOP B, 2817 REILLY RD, MCDS-NA-B, FORT BRAGG, NC 28310-0001
(910) 396-5610
(910) 396-7017
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11235
MD
Other
Enumeration date
04/20/2006
Last updated
03/07/2023
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