Individual
DR. MADISON ELYSE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912-0001
(706) 721-2607
Mailing address
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912-0001
(706) 721-2607
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN123762
GA
125Q00000X
Oral Medicine Dentistry
Primary
DN123762
GA
Other
Enumeration date
03/22/2022
Last updated
07/18/2025
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