Individual
JEFFREY RYAN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3939 HOUMA BLVD STE 5, METAIRIE, LA 70006-2921
(504) 301-3590
(504) 301-9783
Mailing address
3939 HOUMA BLVD STE 5, METAIRIE, LA 70006-2921
(504) 301-3590
(504) 301-9783
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6167
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861677
—
LA
Enumeration date
05/23/2011
Last updated
06/23/2025
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