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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DANIEL THEODORE RICHARDSON, DMD MD

Active Sole Proprietor

DR. DANIEL THEODORE RICHARDSON, DMD MD is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in ELKRIDGE, Maryland. NPI 1740271915 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · ELKRIDGE, MD

Registration Details

NPI Number
1740271915
Provider Type
Individual
Gender
Male
NPI Issued
Nov 4, 2005 (20.740740481401 yrs)
Last Updated
Jun 1, 2011
Licenses
D67181 (MD)
14259 (MD)
14259 (MD)
Sole Proprietor
Yes

Practice Information

Address
6865 DEERPATH RD
DORSEY STATION, SUITE 302
ELKRIDGE, MD, 210756257
Browse MD providers · Browse ZIP 21075
Phone
4107963333
Fax
4107963375
Primary Specialty
Oral & Maxillofacial Surgery (Physician)
204E00000X
Additional Specialty
Oral & Maxillofacial Surgery
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.