NPI 1033380423

Gregory L. Richardson Dds.Ms.Pa

Organisation Exclusive Provider Organization Wilmington, NC

Practice location

Address: 2606 Iron Gate Dr Suite 101, Wilmington, NC 28412-2573
Phone: (910) 452-7988
Fax: (910) 452-7632

Authorised official

Name: Gregory L Richardson
Title: Owner
Phone: (910) 452-7988

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 5744 (NC)

Other Exclusive Provider Organization providers in North Carolina →

Registry record

NPI: 1033380423
Entity type: Organization
NPI issued: 13 Mar 2008
Record last updated: 13 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.