Richardson, Michael Quincy Alan
Richardson, Michael Quincy Alan is an individual health care provider with primary practice located at 4965 Lanier Islands Pkwy Ste 105 , Buford GA 30518-1717. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Richardson, Michael Quincy Alan can be contacted via phone (770) 831-0559.Contact Information
Primary practice address
4965 Lanier Islands Pkwy Ste 105
Buford GA 30518-1717
Phone: (770) 831-0559
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 30022065 | Ohio |
| Dental Providers / General Practice | 1223G0001X | DN014751 | Georgia |
Profile Details
| NPI number | 1477634574 |
|---|---|
| LBN Legal business name | Richardson, Michael Quincy Alan |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Jul 7th, 2021 - about 5 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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