person
Mrs. Shanta Dianne Richardson, DMD
Pediatric Dentist in Ellicott City, Maryland
NPI 1205800729

Shanta Dianne Richardson is a Pediatric Dentist based in Ellicott City, MD and is specialized in Pediatric Dentistry. Shanta Dianne Richardson practices in Ellicott City, MD and has the professional credentials of DMD. The NPI Number for Shanta Dianne Richardson is 1205800729 and holds a License No. 21208 (Maryland).

The current practice location address for Shanta Dianne Richardson is 8001 Hillsborough Rd, Ellicott City, MD and can be reached out via phone at 443-574-8944 and via fax at 443-574-8947. You can also correspond with Shanta Dianne Richardson through the mailing address at 8001 HILLSBOROUGH RD, ELLICOTT CITY, MD - 21043-6876 (mailing address contact number: 443-574-8944).

Location: 8001 Hillsborough Rd, Ellicott City, MD, 21043-6876
person
Provider Profile Details
NPI Number
1205800729
Provider Name
Shanta Dianne Richardson
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
8001 Hillsborough Rd, Ellicott City, MD, 21043-6876
Phone Number
443-574-8944
Fax Number
443-574-8947
Provider Enumeration Date
02/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0208469 05 MA
institution
Provider Business Practice Location Address Details
Address
8001 Hillsborough Rd
City
State
Zip
21043-6876
Phone Number
443-574-8944
Fax Number
443-574-8947
person
Provider Business Mailing Address Details
Address
8001 Hillsborough Rd
City
State
Zip
21043-6876
Phone Number
443-574-8944
Fax Number
443-574-8947
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
21208 (Massachusetts)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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