Provider / Organization | NPI | Date Certified |
---|---|---|
NATALEE MARIE RICHARDSON | 1558062596 | 2024-10-13 |
Natalee Marie Richardson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1558062596. Registration indicates Natalee Marie Richardson is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) Access to Dentists-General (Dental Providers, Dentist) (Dental Providers, Dentist) (Dentist: General Practice, ) (Dental, ) (Dentist General Practice, Dental Providers) (Dentist, )
Entity Type | Individual |
Provider Name | Natalee Marie Richardson DDS |
Practice Office Address | 6518 WINFORD AVE FAIRFIELD TOWNS, OH US |
Practice Office Telephone | 5137129642 |
Mailing Address | 6518 WINFORD AVE FAIRFIELD TOWNSHIP, OH 450110547 US |
Business Telephone | 5137129642 |
Code | Practice | License No State |
---|---|---|
390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
1223G0001X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist: General Practice Dental Dentist General Practice Dental Providers Dentist | 30.027624
OH |