Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDOLPH MACON RICHARDSON IV, DMD MD
ActiveDR. RANDOLPH MACON RICHARDSON IV, DMD MD is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in FORT MYERS, Florida. NPI 1609803881 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · FORT MYERS, FL
Registration Details
- NPI Number
- 1609803881
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 26, 2006 (20.094770896527 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DN0014165 (FL)
Practice Information
- Address
-
6120 WINKLER RDSTE FFORT MYERS, FL, 33919Browse FL providers · Browse ZIP 33919
- Phone
- 2394371500
- Fax
- 2394371560
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
Other Oral & Maxillofacial Surgery (Physician) Providers in FORT MYERS, FL
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT DALE GEAR JR. | DMD, MD | 1033176037 |
| DR. JAMES MICHAEL D'AMICO | D.D.S., M.S. | 1427520360 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.