NPI 1174975635

Tanissea Richardson

Practitioner Dental Hygienist Fort Bragg, NC

Practice location

Address: 2817 Reilly St, Fort Bragg, NC 28310-7324
Phone: (910) 643-2196

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 9188 (NC)

Other Dental Hygienist providers in North Carolina →

Registry record

NPI: 1174975635
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jul 2016
Record last updated: 8 Jul 2016

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.