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Dr. Edwin M Richardson, DDS
General Practice Dentistry in Fayetteville, Georgia
NPI 1831229426

Edwin M Richardson is a General Practice Dentistry based in Fayetteville, GA and is specialized in General Practice. Edwin M Richardson practices in Fayetteville, GA and has the professional credentials of DDS. The NPI Number for Edwin M Richardson is 1831229426 and holds a License No. 10241 (Georgia).

The current practice location address for Edwin M Richardson is 113 Ebenezer Rd, Fayetteville, GA and can be reached out via phone at 770-487-9797.

Location: 113 Ebenezer Rd, Fayetteville, GA, 30215-4816
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831229426
Provider Name
Edwin M Richardson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
113 Ebenezer Rd, Fayetteville, GA, 30215-4816
Phone Number
770-487-9797
Fax Number
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
58-1433916 01 GA T.I.N
institution
Provider Business Practice Location Address Details
Address
113 Ebenezer Rd
City
Fayetteville
State
Georgia
Zip
30215-4816
Phone Number
770-487-9797
Fax Number
person
Provider Business Mailing Address Details
Address
113 Ebenezer Rd
City
Fayetteville
State
Georgia
Zip
30215-4816
Phone Number
770-487-9797
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
10241 (Georgia)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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