Richardson, Jr., James M.

Richardson, Jr., James M. is an individual health care provider with primary practice located at 804 W Main St , Lake City SC 29560-4400. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Richardson, Jr., James M. can be contacted via phone (843) 374-8010.

Contact Information

Primary practice address
804 W Main St Lake City SC 29560-4400
Phone: (843) 374-8010
Fax: (843) 374-2030
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2547 South Carolina

Profile Details

NPI number 1629166889
LBN Legal business name Richardson, Jr., James M.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629166889 NPPES
South Carolina MEDICAID ZZ2547

Popular Providers