Richardson, Gregory L

Richardson, Gregory L is an individual health care provider with primary practice located at 2606 Iron Gate Drive Suite 101, Wilmington NC 28412. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Richardson, Gregory L can be contacted via phone (910) 452-7988.

Contact Information

Primary practice address
2606 Iron Gate Drive Suite 101 Wilmington NC 28412
Phone: (910) 452-7988
Fax: (910) 452-7932
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 5744 North Carolina

Profile Details

NPI number 1952529364
LBN Legal business name Richardson, Gregory L
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952529364 NPPES
North Carolina MEDICAID 899736B

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