Individual
DR. RICHARD HENRY ESHAM II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
108 PROFESSIONAL PARK DR, FAIRHOPE, AL 36532-1922
(251) 928-0620
Mailing address
108 PROFESSIONAL PARK DR, FAIRHOPE, AL 36532-1922
(251) 928-0620
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6036
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168390
—
AL
Enumeration date
09/11/2013
Last updated
03/22/2016
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