DR. RANDOLPH RICHARDSON IV, DMD MD

Oral & Maxillofacial Surgery

Active Individual
NPI: 1609803881

Practice Address

6120 WINKLER RD
STE F
Fort Myers, FL 33919

Phone: (239) 437-1500

Specialties

Specialty Code Primary License
Oral & Maxillofacial Surgery 204E00000X Yes DN0014165 (FL)

Frequently Asked Questions

NPI 1609803881 is the National Provider Identifier for DR. RANDOLPH RICHARDSON IV, DMD MD, a Oral & Maxillofacial Surgery provider located in Fort Myers, FL. This NPI was enumerated on June 26, 2006.
DR. RANDOLPH RICHARDSON IV, DMD MD practices at 6120 WINKLER RD, STE F, Fort Myers, FL 33919.

Quick Facts

NPI
1609803881
Type
Individual
Enumerated
Jun 26, 2006
Last Updated
Jul 8, 2007

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