Individual
DR. BYRON L RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MS
Contact information
Practice address
1000 E RUTHERFORD RD, DR BYRON L RICHARDSON, LANDRUM, SC 29356
(864) 457-4161
(864) 457-4162
Mailing address
1000 E RUTHERFORD RD, DR BYRON L RICHARDSON, LANDRUM, SC 29356
(864) 457-4161
(864) 457-4162
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2294
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89066RY
MEDICAID
NC
05
—
ZZ2294
—
SC
Enumeration date
02/09/2007
Last updated
07/08/2007
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